Medicare Enrolled
Dr. Valerie Gray
Nurse Practitioner - Adult Health · Smithtown, NY
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Gray from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Gray?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Gray
Dr. Valerie Gray is a nurse practitioner - adult health in Smithtown, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gray performed 1,969 Medicare services across 1,681 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gray received a total of $1,582 from 17 pharmaceutical and/or device companies across 54 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - adult health. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gray is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 5% volume in NY
$1,582 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,969
Medicare services
Top 5% in NY for nurse practitioner - adult health
1,681
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~104 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
335 | $93 | $460 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
218 | $8 | $20 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
176 | $10 | $60 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
173 | $8 | $150 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
122 | $10 | $50 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
122 | $16 | $150 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
109 | $29 | $150 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
109 | $9 | $30 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
59 | $3 | $50 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
53 | $69 | $300 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
38 | $16 | $65 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
36 | $15 | $75 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
36 | $36 | $40 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
35 | $14 | $70 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
35 | $16 | $65 |
| Iron level test | 31 | $6 | $70 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
30 | $13 | $150 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
30 | $72 | $175 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
28 | $11 | $70 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
24 | $130 | $410 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
23 | $7 | $75 |
| PSA test (prostate cancer screening) | 23 | $18 | $50 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
18 | $61 | $250 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
17 | $135 | $940 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
17 | $155 | $600 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
16 | $13 | $300 |
| Respiratory syncytial virus (RSV) nucleic acid test A laboratory test that uses nucleic acid amplification to detect the presence of respiratory syncytial virus in a sample. |
16 | $69 | $210 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
15 | $4 | $50 |
| Annual depression screening | 14 | $19 | $60 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
11 | $105 | $595 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$1,582
Total received (2021-2024)
Avg $395/year across 4 years
Top 20% in NY for nurse practitioner - adult health
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
17
Companies
54
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,582 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$770
2023
$622
2022
$150
2021
$40
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$135
Esperion Therapeutics, Inc.
$125
Bayer Healthcare Pharmaceuticals Inc.
$105
Amgen Inc.
$84
Novartis Pharmaceuticals Corporation
$84
Lilly USA, LLC
$61
Inspire Medical Systems, Inc.
$52
Exact Sciences Corporation
$49
Daiichi Sankyo Inc.
$27
Boehringer Ingelheim Pharmaceuticals, Inc.
$26
Astellas Pharma US Inc
$22
Top 3 companies account for 47.4% of 2024 payments
All-time payments by company (2021-2024) ›
Bayer Healthcare Pharmaceuticals Inc.
$355
Amgen Inc.
$172
AstraZeneca Pharmaceuticals LP
$135
Lilly USA, LLC
$131
Esperion Therapeutics, Inc.
$125
Novo Nordisk Inc
$105
Exact Sciences Corporation
$97
Novartis Pharmaceuticals Corporation
$84
IDORSIA PHARMACEUTICALS US INC
$65
ABBVIE INC.
$62
PFIZER INC.
$52
Inspire Medical Systems, Inc.
$52
Boehringer Ingelheim Pharmaceuticals, Inc.
$45
E.R. Squibb & Sons, L.L.C.
$40
Daiichi Sankyo Inc.
$27
Astellas Pharma US Inc
$22
Takeda Pharmaceuticals U.S.A., Inc.
$14
Top 3 companies account for 41.8% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · Cologuard Collection Kit · ELIQUIS · EMGALITY · EVENITY · GATTEX · INJECTAFER · INSPIRE · JARDIANCE · Kerendia · LEQVIO · NEXLIZET · Otezla · PREVNAR 20 · QUVIVIQ · Repatha · SPIRIVA RESPIMAT · SYNJARDY · VRAYLAR · Veozah · ZEPBOUND
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Adult-health nurse practitioners within 10 mi
988
Per 100K population
64.8
County median income
$128,329
Nearest hospital
ST CATHERINE OF SIENA HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Gray is a clinical cardiology specialist, with above-average Medicare volume (top 5% in NY), with low-engagement industry engagement in the top 20% of NY peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gray experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gray performed 335 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Gray receive payments from pharmaceutical companies?
Yes. Dr. Gray received a total of $1,582 from 17 companies across 54 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gray's costs compare to other adult-health nurse practitioners in Smithtown?
Dr. Gray's average Medicare payment per service is $34. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Gray) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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