DR. MYRON FRIBUSH (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1184702102
Geriatric Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
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Provider Addresses for DR. MYRON FRIBUSH (M.D.)
Sitka Long-Term Care, 209, Moller Avenue, Sitka, Alaska, 99835, United States
MOUNTAINSIDE FAMILY HEALTHCARE
SITKA, AK 998357142
Phone: (907) 747-1722
Fax: (907) 747-1755
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040806000360 | I | Family Practice | TX | TBD |
| I20110906000013 | I | Family Practice | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99835)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| Nurse Practitioner | CA | |
| Clinical Social Worker | AK | |
| Emergency Medicine | OR | |
| Family Practice | AK | |
| Diagnostic Radiology | AK |
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