Gray Facial Plastic Surgery
NPI 1104638451 · Facial Plastic Surgery Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gray Facial Plastic Surgery is a Facial Plastic Surgery Physician organization in Boise, ID (NPI 1104638451).
Provider details
- NPI number
- 1104638451
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alan Gray, Facial Plastic Surgeon(208) 631-6990
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-01-23
- Last updated
- 2025-02-09
- Certified
- 2025-02-09
Frequently asked questions
- What is Gray Facial Plastic Surgery's NPI number?
- Gray Facial Plastic Surgery's National Provider Identifier (NPI) is 1104638451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gray Facial Plastic Surgery?
- Gray Facial Plastic Surgery is classified in the NPPES registry as Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Gray Facial Plastic Surgery located?
- Gray Facial Plastic Surgery's practice location on file with NPPES is 2593 N Bird St, Boise, ID 83704-5649.
- What is Gray Facial Plastic Surgery's phone number?
- The practice phone number listed in the NPPES registry for Gray Facial Plastic Surgery is (208) 631-6990.
- Does Gray Facial Plastic Surgery accept Medicare?
- Gray Facial Plastic Surgery 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 Facial Plastic Surgery?
- The authorized official listed on Gray Facial Plastic Surgery's NPPES record is Alan Gray, Facial Plastic Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gray Facial Plastic Surgery's NPI active?
- Yes — Gray Facial Plastic Surgery's NPI (1104638451) is active in the NPPES registry as of the last update on 2025-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.