Matthew James Gray, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME116116 Issued in FL

Practice address

110 Pepper Hill Way
Aiken, SC 29801-2818

Phone

(803) 642-6060

Fax

(352) 373-4372

NPI assigned

Jun 3, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Ophthalmology

Education

University of Florida College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aiken Ophthalmology PCGroup PAC ID 6103885587, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthewgray@aiken.ophthalmology.direct.eyemdemr.com

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.

• Aiken Ophthalmology PC

  • Clinic/Center
  • Aiken, SC
  • NPI 1659315802
  Medicare reassignment Care Compare group NPD
• Casc Aquisition Inc

  • Ambulatory Surgical Clinic/Center
  • Aiken, SC
  • NPI 1952336521
  NPD (past)
• North Florida Cataract Specialists and Vision Care LLC

  • Ophthalmology Physician
  • Newberry, FL
  • NPI 1043564982
  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1477789543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PEPPER HILL WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012818",
            "telephone_number": "803-642-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PEPPER HILL WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012818",
            "telephone_number": "803-642-6060",
            "fax_number": "352-373-4372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0239",
            "fax_number": "352-265-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN13803",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "FL",
            "license": "ME116116",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME116116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090793100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Le'Daisha Lenn Graham
• Sheila Genarina Graham, RPH
• Shanika Grant, CDF
• Wilson Aaron Grant, RPH
• Richard L. Grantham, MD
• Samantha Tierra Gray
• Mark Grayson, PT,DPT
• David Silas Green
• Janae Brianne Green
• Katrina Green

• Ophthalmology Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.