NPI registry status
Active
2026 NPPES data Pediatric Adolescent Medicine Physician NPI 1861449886 M.D.
Verify on CMS → Susan Gray, M.D.
Pediatric Adolescent Medicine Physician in Charlottesville, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,592 in Pediatric Adolescent Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
16
Medicare Part D claims · Pediatric Adolescent Medicine Physician avg: 249
MIPS score
79.4/100
▼ 4 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Susan Gray, M.D. reported a CMS MIPS final score of 79.4/100 - below the 83.1 national average - and filed 16 Medicare Part D claims in 2023.
- 79.4/100
- MIPS score · -4 vs avg
- 16
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Susan Gray, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 30th percentile higher than 30% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Susan Gray, M.D. sits
This provider among pediatric adolescent medicine physician peers
Across the 24 pediatric adolescent medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Susan Gray, M.D. writes more Part D claims than 13% of them and scores higher on MIPS quality than 25% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatric adolescent medicine physician peer from a representative sample of 23; the gold marker is Susan Gray, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Susan Gray, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Susan Gray, M.D.?
Near national averagePrimary specialty
Pediatric Adolescent Medicine Physician
Medicare Part D claims
16 94% vs specialty avg
MIPS final score
79.4/100 3.7 pts vs avg
Specialty distribution in Virginia
How Pediatric Adolescent Medicine Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Susan Gray, M.D.'s 2023 MIPS final score plotted against the Pediatric Adolescent Medicine Physician national average
- MIPS Final Score
- 79.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Adolescent Medicine Physician) - 79.4/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Susan Gray, M.D. appears in the CMS NPPES registry as a Pediatric Adolescent Medicine Physician provider holding M.D. credentials at 1204 W MAIN ST, Charlottesville, VA, 22903, with a listed phone of (434) 924-0123. NPI 1861449886 was issued on 05/27/2006.
Medicare Part D records for calendar year 2023 show 16 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $672 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.4/100 for the 2023 performance year (Quality 73.7, Cost 57.7), compared with the national average of 83.1.
Pediatric Adolescent Medicine Physician is a narrow specialty nationwide, with 2,592 enrolled providers across 52 states and an average of 249 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1861449886 |
|---|---|
| Specialty | Pediatric Adolescent Medicine Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 05/27/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.3949
Final Score
Avg: 83.1
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Susan Gray, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
University OF Virginia Physicians Group
Charlottesville, VA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
16
Total Claims
$672
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 32
- Total Day Supply
- 875
- Brand Drug Cost
- $0
- Generic Drug Cost
- $672
Patient Demographics
- Average Patient Age
- 22.5 years
- Avg HCC Risk Score
- 1.28
More Pediatric Adolescent Medicine Physician in VA →
All providers in Virginia →
Compare specialties →
Pediatric Adolescent Medicine Physician Overview
How Susan Gray, M.D. fits within the Pediatric Adolescent Medicine Physician landscape nationally.
2,592
Pediatric Adolescent Medicine Physician Providers in US
52
States with Pediatric Adolescent Medicine Physician
249
Avg Claims per Provider
Susan Gray, M.D.'s 16 claims are below the specialty average of 249.
Nearby Pediatric Adolescent Medicine Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Gray.
Dr. Katherine Abbott
MD
Manassas, VA
Dr. Wagida Abdalla
M.D.
Fairfax, VA
Dr. Yasmin Anez
M.D.
McLean, VA
Dr. David Arkin
M.D.
Glen Allen, VA
Dr. Brooke Bokor
MD, MPH
Ashburn, VA
Compare Pediatric Adolescent Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Adolescent Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Susan Gray, M.D.'s specialty? ▼
Susan Gray, M.D. specializes in Pediatric Adolescent Medicine Physician and practices in Charlottesville, Virginia. Credentials: M.D..
How much does Susan Gray, M.D. prescribe under Medicare Part D? ▼
In 2023, Susan Gray, M.D. wrote 16 Medicare Part D claims totaling $672 in drug costs for N/A beneficiaries.
What is Susan Gray, M.D.'s Medicare quality score? ▼
Susan Gray, M.D. has a CMS MIPS Final Score of 79.4/100 (Quality: 73.7, Cost: 57.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Susan Gray, M.D. located? ▼
Susan Gray, M.D. is located at 1204 W MAIN ST, Charlottesville, VA, 22903. Phone: (434) 924-0123.
What is Susan Gray, M.D.'s NPI number? ▼
Susan Gray, M.D.'s National Provider Identifier (NPI) is 1861449886, issued on 05/27/2006.
How many Pediatric Adolescent Medicine Physician providers are there in the US? ▼
There are 2,592 Pediatric Adolescent Medicine Physician providers across 52 states in the US. The average Pediatric Adolescent Medicine Physician provider writes 249 Medicare Part D claims per year.
Does Susan Gray, M.D. accept Medicare? ▼
Susan Gray, M.D. appears in CMS Medicare data with 16 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Susan Gray, M.D.'s credentials? ▼
Susan Gray, M.D.'s NPI is 1861449886 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.