JACK F FREIDEL (MD) – Family Medicine Physician, NPI 1487622551
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
Provider Addresses for JACK F FREIDEL (MD)
112 LINKS WAY
AURORA, IN 470011403
Phone: (812) 496-8785
Fax: (812) 926-0431
Type: Location
4125, US 11, Canton, Saint Lawrence County, New York, 13630, United States
LAWRENCEBURG, IN 470254125
Phone: (812) 537-8241
Fax: (812) 537-1041
Type: Mailing
107, Bridgeway Street, Utah, Aurora, Center Township, Dearborn County, Indiana, 47001, United States
SUITE 100
AURORA, IN 470011378
Phone: (812) 496-8785
Fax: (812) 926-0431
Type: Location
PO BOX 635283
CINCINNATI, OH 452635283
Phone: (859) 344-5555
Fax: (859) 344-5552
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 176 Open Payments records for all available years, with a total value of $2,902.
Total Amount is formed as General ($2,902) + Research ($0) + Ownership ($0) = $2,902.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($601).
Total Amount
$2,902
General + Research + Ownership
Payments
176
Total payment records
General Amount
$2,902
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $601 |
| Amgen Inc. | $514 |
| AstraZeneca Pharmaceuticals LP | $296 |
| Novo Nordisk Inc | $204 |
| USWM, LLC | $98 |
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: 2007-12-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071204000532 | I | Family Practice | IN | 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 | 595 | 198 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 550 | 180 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 151 | 151 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 145 | 42 | $0 |
| 87400 | Detection test by immunoassay technique for influenza virus | 112 | 41 | $0 |
Insurance plans in this area (ZIP 47001)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IN | 90670 | Pneumococcal vaccine for injection into muscle | 146 | 146 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KY | |
| Family Practice | OH | |
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| - | KY | |
| Family Practice | OH | |
| - | FL | |
| Nurse Practitioner | KY |
Reviews
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