DOUGLAS FRIESEN (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1124096987

DOUGLAS FRIESEN (MD) is a healthcare provider. based in Wichita, Kansas. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 0420559 (KS). The NPI Number for DOUGLAS FRIESEN (MD) is 1124096987

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS FRIESEN (MD)
NPI
1124096987
Phone
(316) 685-3698
Address
PO BOX 1148
Enumeration Date
9 March 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9287882273
Graduation Year
1983 (43 years ago)
PAC ID
2466359831
Group Practice PAC ID
3870964323
Professional Enrollment ID
I20230621001910
Address ID
AZ864269225FO5330X95XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

424 ANESTHESIOLOGY in KS

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Provider Addresses for DOUGLAS FRIESEN (MD)

  • Wichita Post Office, 7117, West Harry Street, Wichita, Sedgwick County, Kansas, 67209, United States

    WICHITA, KS 672011148

    Phone: (316) 685-3698

    Fax: (316) 652-0340

    Type: Mailing

  • West Greenspoint Street, Evergreen, Wichita, Sedgwick County, Kansas, 67212, United States

    WICHITA, KS 672051581

    Phone: (316) 946-5980

    Fax: (316) 652-0340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Glaukos Corporation ($26).

Total Amount

$88

General + Research + Ownership

Payments

4

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20070719000772IAnesthesiologyKSTBD
I20230621001910IAnesthesiologyAZTBD
I20240113000701IAnesthesiologyCATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2828$0
00812Anesthesia for exam of colon using an endoscope2222$0
View full utilization report →

Insurance plans in this area (ZIP 67201)

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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: 3870964323View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CO
A N E S T H E S I O L O G YIN
Anesthesiology, Pain ManagementCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)NV
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Does DOUGLAS FRIESEN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DOUGLAS FRIESEN (MD) uses 1124096987.
Does CMS list DOUGLAS FRIESEN (MD) as active?
Yes — DOUGLAS FRIESEN (MD) is active in the NPI listing used on this page.
What healthcare role does DOUGLAS FRIESEN (MD) hold?
Scheduling teams often label DOUGLAS FRIESEN (MD) under Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DOUGLAS FRIESEN (MD)?
DOUGLAS FRIESEN (MD)'s geographic hint is Wichita, Kansas in our summary view.
Why does DOUGLAS FRIESEN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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