Jacqueline A. Gray, PA-C
NPI 1962897843ActiveIndividual· Physician Assistant, Medical· Berkeley Heights, NJ
Physician Assistant, Medical (PA-C) with Summit Medical Group PA, practicing in Berkeley Heights, New Jersey. 126 Medicare patients in 2024, $13,609 paid; nearly all of their 143 Part D prescriptions were generic (92%).
Overview
| NPI | 1962897843 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 30, 2015 |
| Last updated in NPPES | Sep 22, 2023 |
| Certified by provider | Sep 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 25MP00355800 | NJ |
| Physician Assistant | 363A00000X | 25MP00355800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 126 |
|---|---|
| Services billed | 201 across 27 procedure codes |
| Paid by Medicare | $13,609 |
Part D prescriptions in 2024
| Prescriptions (claims) | 143 · 168 30-day fills |
|---|---|
| Patients | 106 |
| Total drug cost | $2,140 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Summit Medical Group PABerkeley Heights, NJ · 1,212 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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