Individual provider Active NPI

Matthew James Gray, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Northglenn, CO
National Provider Identifier
1396001038
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
DR0058270 Issued in CO
Practice address
11990 Grant St Ste 300
Northglenn, CO 80233-1135
Phone
(720) 773-2464
Fax
(720) 925-5897
NPI assigned
Apr 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X DR0058270 CO
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X DR0058270 CO Primary

Addresses

Primary practice location

11990 Grant St Ste 300
Northglenn, CO 80233-1135

Mailing address

5445 DTC Pkwy Ste 1130
Greenwood Village, CO 80111-3038
Phone (720) 459-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517000016 CO Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 8527295799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain View Pain SpecialistsGroup PAC ID 7911255013, 53 clinicians

Practice addresses (Care Compare)

10375 Park Meadows Dr
Suite 270
Lone Tree, CO 80124-6760
Phone (720) 749-5599

15901 E Briarwood Cir
Unit 150
Aurora, CO 80016-1787
Phone (303) 645-4363

1900 W 16TH St
Suite 400
Greeley, CO 80631-5153
Phone (720) 749-5599

3204 N Academy Blvd
Suite 300
Colorado Springs, CO 80917-5164
Phone (720) 749-5599

3491 E Harmony Rd
Suite 230
Fort Collins, CO 80528-8824
Phone (720) 749-5599

520 Zang St
Suite 250
Broomfield, CO 80021-8347
Phone (720) 749-5599

63 N Quebec St
Suite 300
Denver, CO 80230-7358
Phone (720) 749-5599

Merit-based Incentive Payment System (MIPS)

Final score
30.58 of 100Reported as group
Quality
9.59
Promoting interoperability
0
Improvement activities
0
Cost
68.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR0058270COMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Surgical Specialists CurrentSince Jun 24, 2024 Accepting new patients
Mountain View Pain Specialists Pain Medicine CurrentSince Jan 2, 2024 Accepting new patients

Locations

15901 E Briarwood Cir
Unit 150
Aurora, CO 80016
Phone (303) 645-4363

520 Zang St
Ste 250
Broomfield, CO 80021
Phone (303) 214-7907

5060 S Syracuse St
Denver, CO 80237
Phone (303) 770-1056

3491 E Harmony Rd
Ste 230
Fort Collins, CO 80528
Phone (970) 449-0285

5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111

11990 Grant St
Ste 400
Northglenn, CO 80233
Phone (720) 773-2464

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15573/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.gray@3675.securemail.prognocis.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1396001038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DTC PKWY STE 1130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113038",
            "telephone_number": "720-459-5599",
            "fax_number": "720-925-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 300",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331135",
            "telephone_number": "720-773-2464",
            "fax_number": "720-925-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CO",
            "license": "DR0058270",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "DR0058270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.