WALTER B FRADY (M.D.) – Internal Medicine Physician, NPI 1255361382

WALTER B FRADY (M.D.) is a healthcare provider. based in St augustine, Florida. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME66290 (FL). The NPI Number for WALTER B FRADY (M.D.) is 1255361382

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
WALTER B FRADY (M.D.)
NPI
1255361382
Phone
(904) 794-5411
Address
16 ST JOHNS MEDICAL PARK DR
Enumeration Date
4 July 2006
Last Update Date
8 January 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3865862000
Graduation Year
1992 (34 years ago)
PAC ID
7416089115
Group Practice PAC ID
6002198082
Professional Enrollment ID
I20100715000677
Address ID
FL321645980PA60XXXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,493 HOSPITALIST in FL

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Provider Addresses for WALTER B FRADY (M.D.)

  • 16, Saint Johns Medical Park Drive, St. Augustine South, Saint Johns County, Florida, 32086, United States

    ST AUGUSTINE, FL 320865299

    Phone: (904) 794-5411

    Fax: (907) 794-4224

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100715000677IHospitalistFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes893345$0
99239Hospital discharge day management, more than 30 minutes352331$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes154151$0
99497Advance care planning, first 30 minutes113111$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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Provider's Procedures

WALTER B FRADY (M.D.) performs procedures in HOSPITALIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HOSPITALISTFL83036Hemoglobin A1C level7045

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002198082View full group profile
NameSpecialtyState
Internal MedicineAZ
Family PracticeAZ
Internal MedicineFL
Nurse PractitionerVA
Internal MedicineFL
-FL
Critical Care (Intensivists), Internal MedicineKS
Internal MedicineFL
Internal MedicinePR
H O S P I T A L I S TFL

Reviews

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Frequently asked questions

What federal number belongs to WALTER B FRADY (M.D.)?
The federal identifier for WALTER B FRADY (M.D.) is NPI 1255361382.
Is WALTER B FRADY (M.D.) active in the national directory?
WALTER B FRADY (M.D.)'s public NPI profile is in an active state.
Can you summarize WALTER B FRADY (M.D.)'s specialty in plain language?
Clinically, the directory lists WALTER B FRADY (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for WALTER B FRADY (M.D.)?
We surface St Augustine, Florida for WALTER B FRADY (M.D.) based on available NPPES addresses.
Is WALTER B FRADY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1255361382. Always confirm identity and privileges with the practice and licensing boards.

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