JUSTIN WYLIE WRAY M.D. NPI 1407116163

NPI Information

  • NPI: 1407116163
  • Provider Name: JUSTIN WYLIE WRAY, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1700 WEST AVE # 6
    WACO, TX
    ZIP 76707
  • Phone: (254) 399-0741

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NPI Details

Justin Wylie Wray, M.D. is a radiation oncology radiology in Waco, TX with 18 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Justin Wylie Wray, M.D. NPI is 1407116163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

1700 WEST AVE # 6
WACO, TX
ZIP 76707-054
Phone: (254) 399-0741
Fax: (254) 399-0779

The NPI 1407116163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev (HCPCS:G6013)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS:G6012)
  • Complex radiation therapy planning (HCPCS:77263)
  • Cranial lesion surgery using radiation over multiple sessions (HCPCS:77373)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • 3d radiation therapy planning (HCPCS:77295)
  • X-ray during radiation therapy (HCPCS:77417)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Special radiation treatment (HCPCS:77470)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
  • Irrigation of implanted venous access drug delivery device (HCPCS:96523)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Injection of biodegradable material next to prostate (HCPCS:55874)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Placement of device in prostate for radiation therapy (HCPCS:55876)

The enumeration date for this NPI number is 5/29/2012 and was last updated on 6/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineTRN17315FLORIDANo
22085R0001XRadiologyRadiation OncologyR3455TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1372654901MEDICAIDTEXAS
2372654902MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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