Gray Derm PLLC
NPI 1104392679 · Dermatology Physician · Lima, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gray Derm PLLC is a Dermatology Physician organization in Lima, OH (NPI 1104392679).
Provider details
- NPI number
- 1104392679
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryan Gray, Do/Practice Owner(614) 596-6789
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Gray Derm LLC
- Doing business as
- Gray Dermatology & Cosmetic Surgery
Additional practice locations (2)
- 609 E Chestnut StLancaster, OH 43130-3900Phone: (740) 206-7131
- 1005 Bellefontaine Ave Ste 300Lima, OH 45804-2881Phone: (419) 998-8297Fax: (419) 226-8309
Registry dates
- Enumerated
- 2018-10-22
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Frequently asked questions
- What is Gray Derm PLLC's NPI number?
- Gray Derm PLLC's National Provider Identifier (NPI) is 1104392679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gray Derm PLLC?
- Gray Derm PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Gray Derm PLLC located?
- Gray Derm PLLC's practice location on file with NPPES is 750 W High St Ste 300, Lima, OH 45801-2967.
- What is Gray Derm PLLC's phone number?
- The practice phone number listed in the NPPES registry for Gray Derm PLLC is (419) 229-6781.
- Does Gray Derm PLLC accept Medicare?
- Gray Derm PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gray Derm PLLC?
- The authorized official listed on Gray Derm PLLC's NPPES record is Bryan Gray, Do/Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gray Derm PLLC's NPI active?
- Yes — Gray Derm PLLC's NPI (1104392679) is active in the NPPES registry as of the last update on 2026-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.