DR. PETER D FRIES (MD) – Ophthalmology Physician, NPI 1942289996

DR. PETER D FRIES (MD) is a healthcare provider. based in Bettendorf, Iowa. specializing in Ophthalmology Physician. They hold the professional credentials MD. They hold a License No. 036082456 (IL). The NPI Number for DR. PETER D FRIES (MD) is 1942289996

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER D FRIES (MD)
NPI
1942289996
Phone
(563) 323-2020
Address
777 TANGLEFOOT LN
Enumeration Date
10 January 2006
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
3097932020
Graduation Year
1982 (44 years ago)
PAC ID
4284531310
Group Practice PAC ID
4183521206
Professional Enrollment ID
I20050601001019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for DR. PETER D FRIES (MD)

  • 777, Tanglefoot Lane, Bettendorf, Scott County, Iowa, 52722, United States

    BETTENDORF, IA 527221650

    Phone: (563) 323-2020

    Fax: (563) 328-5694

    Type: Mailing

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2005-06-01

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
I20050601001019IOphthalmologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52722)

Loading plans...

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: 4183521206View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIL
O P T O M E T R YIA

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.

Frequently asked questions

Is there an official ID for DR. PETER D FRIES (MD) in U.S. healthcare records?
The official identifier for DR. PETER D FRIES (MD) is NPI 1942289996.
Is DR. PETER D FRIES (MD) still an active registrant?
DR. PETER D FRIES (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. PETER D FRIES (MD)?
At a glance, DR. PETER D FRIES (MD) is tied to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. PETER D FRIES (MD)?
Travel planning: use Bettendorf, Iowa as the reference point for DR. PETER D FRIES (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.