CMS-1500 Box 24J / 33a • NPI
1649411539
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208600000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
4550 LEE HWY STE C, DUBLIN, VA, 24084-3802
✓ 9-Digit EDI 837 ZIP+4 (24084-3802)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1649411539 (LISA MARIE GRAY, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1649411539 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LISA MARIE GRAY, D.O. |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 208600000X (Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 4550 LEE HWY STE C, DUBLIN, VA, 24084-3802 |
| Practice Telephone / Fax | Tel: (540) 980-9660 |
| Administrative Mailing Address | 1802 BRAEBURN DR, SALEM, VA, 24153-7357 |
| Enumeration & Last Sync | Enumerated: 2009-03-23 | CMS Record Updated: 2022-02-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208600000X)
What Does Taxonomy Code 208600000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208600000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LISA MARIE GRAY, D.O.)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: MI | License: 5101020367 | Primary: Secondary |
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: VA | License: 0102204469 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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