DR. RICHARD GARY FRIED (D.C.) – Chiropractor, NPI 1710984174

DR. RICHARD GARY FRIED (D.C.) is a healthcare provider. based in Moline, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 038005386 (IL). The NPI Number for DR. RICHARD GARY FRIED (D.C.) is 1710984174

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD GARY FRIED (D.C.)
NPI
1710984174
Phone
(309) 762-1050
Address
1715 5TH AVE
Enumeration Date
30 June 2005
Deactivation Date
17 March 2006
Reactivation Date
24 March 2006
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Secondary Phone
3097621050
Graduation Year
1985 (41 years ago)
PAC ID
2668651399
Professional Enrollment ID
I20110126000779
Address ID
IL612657911MO1715XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for DR. RICHARD GARY FRIED (D.C.)

  • 5th Avenue, Moline, Rock Island County, Illinois, 61265, United States

    MOLINE, IL 612657911

    Phone: (309) 762-1050

    Fax: (309) 762-1064

    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: 2011-01-26

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
I20110126000779IChiropracticILTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions35243$0
View full utilization report →

Insurance plans in this area (ZIP 61265)

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Reviews

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Frequently asked questions

What is DR. RICHARD GARY FRIED (D.C.)'s NPI number?
DR. RICHARD GARY FRIED (D.C.)'s NPI is 1710984174 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. RICHARD GARY FRIED (D.C.)?
For scheduling context, DR. RICHARD GARY FRIED (D.C.) is shown as active in the registry.
What expertise is attributed to DR. RICHARD GARY FRIED (D.C.)?
DR. RICHARD GARY FRIED (D.C.)'s specialty line reads Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. RICHARD GARY FRIED (D.C.)?
Directory geography for DR. RICHARD GARY FRIED (D.C.) centers on Moline, Illinois.
Can I trust this NPI listing for DR. RICHARD GARY FRIED (D.C.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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