DR. KIRK L FRIDRICH (DDS MS) – Oral and Maxillofacial Surgery (Dentist), NPI 1174508022
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12 MAXILLOFACIAL SURGERY in IA
Loading map...
Provider Addresses for DR. KIRK L FRIDRICH (DDS MS)
Pomerantz Family Pavilion, 720, Melrose Avenue, Iowa City, Johnson County, Iowa, 52242, United States
IOWA CITY, IA 52242
Phone: (319) 356-1981
Fax: (319) 353-6923
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $1,087.
Total Amount is formed as General ($1,087) + Research ($0) + Ownership ($0) = $1,087.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: OsteoCentric Technologies, Inc. ($941).
Total Amount
$1,087
General + Research + Ownership
Payments
4
Total payment records
General Amount
$1,087
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| OsteoCentric Technologies, Inc. | $941 |
| Straumann USA LLC | $82 |
| Nobel Biocare USA | $64 |
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: 2009-10-14
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 |
|---|---|---|---|---|
| I20091014000056 | I | Maxillofacial Surgery | IA | 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 52242)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| O P H T H A L M O L O G Y | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| - | IA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.