FREDRICK J III FARMER (D.O.) – Family Medicine Physician, NPI 1174612105
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
53 GENERAL PRACTICE in KS
Provider Addresses for FREDRICK J III FARMER (D.O.)
603 E First Ave
St. John, KS 675792223
Phone: (620) 549-3251
Fax: (620) 549-3853
Type: Location
200 S Main
Sylvia, KS 67581
Phone: (620) 486-2985
Fax: (620) 234-5014
Type: Location
609 E 1ST
ST. JOHN, KS 67576
Phone: (620) 549-3251
Fax: (855) 332-0469
Type: Mailing
West Broadway Street, Stafford, Stafford County, Kansas, 67578, United States
PO BOX 309
STAFFORD, KS 67578
Phone: (620) 234-6826
Fax: (620) 234-5014
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($18).
Total Amount
$51
General + Research + Ownership
Payments
3
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $18 |
| Mylan Specialty L.P. | $18 |
| ABBVIE INC. | $15 |
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: 2004-09-07
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 |
|---|---|---|---|---|
| I20040907001024 | I | General Practice | KS | 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 67579)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | KS | 85610 | Blood test, clotting time | 72 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KS | |
| Family Practice | SD | |
| - | KS | |
| Nurse Practitioner | AZ | |
| - | KS | |
| Nurse Practitioner | KS |
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