Cory Matthew Gray, DO

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

9418 Issued in OK

Practice address

4142 S Mingo Rd
Tulsa, OK 74146-3632

Phone

(918) 417-6400

Fax

(918) 416-0506

NPI assigned

Jul 2, 2018

Last updated

Jul 13, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MO, OK, TX3 enrollments

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 3

Specialty

Pathology

Education

Oklahoma State University College of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boyce and Bynum Pathology Professional Services IncGroup PAC ID 0042384976, 15 clinicians

Pathology Laboratory Associates, Inc.Group PAC ID 3476539529, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• SSM Health St. Mary's Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011
• Boone Hospital Center Hospital, Columbia, MO, CCN 260068
• Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
• Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022

Merit-based Incentive Payment System (MIPS)

Final score

79.22 of 100Reported as group

Quality

75.56

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Pathology Laboratory Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tulsa, OK
  • NPI 1750314076
  Medicare reassignment Care Compare group NPD
• Boyce & Bynum Pathology Professional Services Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbia, MO
  • NPI 1689634818
  Medicare reassignment Care Compare group NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Community Hospital

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Health System

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923
  Medicare reassignment
• Creek Nation Hospital & Clinics

  dba Council Oak South

  • Clinic/Center
  • Tulsa, OK
  • NPI 1699343913
  NPD
• Creek Nation Hospital & Clinics

  dba Muscogee Healing and Recovery Center

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD
• Boyce - Bynum Pathology Laboratories, Inc

  • Clinical Medical Laboratory
  • Columbia, MO
  • NPI 1205896594
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hillcrest Medical Center, LLC

  dba Hillcrest Medical Center

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1629057229
  Care Compare affiliation
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• CH Allied Services, Inc

  dba Boone Hospital Center

  • Cardiac Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1548734734

  Hospital

  Care Compare affiliation
• CH Allied Services, Inc.

  dba Boone Hospital Center

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1902817844
  Care Compare affiliation
• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  Care Compare affiliation
• SSM Regional Health Services

  dba SSM Health St. Mary's Hospital Jefferson City

  • General Acute Care Hospital
  • Jefferson City, MO
  • NPI 1518065523
  Care Compare affiliation

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972099091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463632",
            "telephone_number": "918-417-6400",
            "fax_number": "918-416-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463632",
            "telephone_number": "918-417-6400",
            "fax_number": "918-416-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W Main St",
            "address_purpose": "LOCATION",
            "city": "Henryetta",
            "state": "OK",
            "postal_code": "744373893",
            "country_code": "US",
            "telephone_number": "918-650-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 E Frank Phillips Blvd",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740062464",
            "country_code": "US",
            "telephone_number": "918-331-1325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 S Utica Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741044090",
            "country_code": "US",
            "telephone_number": "918-579-2528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 N Muskogee Pl",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740173058",
            "country_code": "US",
            "telephone_number": "918-341-2556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2408 E 81st St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741374215",
            "country_code": "US",
            "telephone_number": "918-477-5071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 S Olympia Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741321843",
            "country_code": "US",
            "telephone_number": "918-388-5707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 E Bryan Ave",
            "address_purpose": "LOCATION",
            "city": "Sapulpa",
            "state": "OK",
            "postal_code": "740664513",
            "country_code": "US",
            "telephone_number": "918-224-4280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 S Locust St",
            "address_purpose": "LOCATION",
            "city": "Nowata",
            "state": "OK",
            "postal_code": "740483660",
            "country_code": "US",
            "telephone_number": "918-273-3102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Downing St",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744643324",
            "country_code": "US",
            "telephone_number": "918-453-2263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10109 E 79th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741334564",
            "country_code": "US",
            "telephone_number": "918-756-0310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1923 S Utica Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741046520",
            "country_code": "US",
            "telephone_number": "918-744-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744674624",
            "country_code": "US",
            "telephone_number": "918-485-5514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Boise Cir",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740124900",
            "country_code": "US",
            "telephone_number": "918-994-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12451 E 100th St N",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554600",
            "country_code": "US",
            "telephone_number": "918-274-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CORY",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2021018271",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "125071858",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "9418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yance Graves
• Courtney Marie Gravier
• Cecelia Kay Gray-Alsay, ACSW, QCSW
• Abigail Kathleen Gray
• Bethany Gray, MS
• Courtney Gray, MD
• Delmar Gray, CSFA
• Eden Gray
• Emily Nicole Gray, PHARMD
• Gena C. Gray, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Anatomic Pathology & Clinical Pathology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.