DR. FRED A CHURCH (D.O.) – Family Medicine Physician, NPI 1215924600
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,425 FAMILY PRACTICE in KS
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Provider Addresses for DR. FRED A CHURCH (D.O.)
PO BOX 741331
ATLANTA, GA 303741331
Phone: (913) 469-0503
Fax: (913) 338-1311
Type: Mailing
Sunnybrook Medical Building, 11164, South Noble Drive, Olathe, Johnson County, Kansas, 66061, United States
OLATHE, KS 660617572
Phone: (913) 829-2440
Fax: (913) 338-1311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 179 Open Payments records for all available years, with a total value of $2,829.
Total Amount is formed as General ($2,829) + Research ($0) + Ownership ($0) = $2,829.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($571).
Total Amount
$2,829
General + Research + Ownership
Payments
179
Total payment records
General Amount
$2,829
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $571 |
| ABBVIE INC. | $485 |
| Novo Nordisk Inc | $429 |
| AstraZeneca Pharmaceuticals LP | $368 |
| Noven Therapeutics, LLC | $90 |
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: 2010-06-09
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100609000065 | I | Family Practice | KS | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 248 | 103 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 63 | 63 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 47 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 14 | $0 |
| 77063 | Screening 3d breast mammography | 15 | 15 | $0 |
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| - | CO | |
| Family Practice, Anesthesiology | GA | |
| General Surgery | MO | |
| Physician Assistant | KS | |
| Physician Assistant | GA | |
| Family Practice | KS | |
| - | GA | |
| Diagnostic Radiology | KS | |
| Certified Registered Nurse Anesthetist (Crna) | MO |
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