DR. BRENTLEY FROSSARD (D.O.) – Internal Medicine Physician, NPI 1508218504

DR. BRENTLEY FROSSARD (D.O.) is a healthcare provider. based in Paducah, Kentucky. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials D.O.. They hold a License No. 05883 (KY). The NPI Number for DR. BRENTLEY FROSSARD (D.O.) is 1508218504

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENTLEY FROSSARD (D.O.)
NPI
1508218504
Phone
(270) 442-3647
Address
546 LONE OAK RD
Enumeration Date
1 July 2016
Last Update Date
21 June 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
8592267000
Graduation Year
2016 (10 years ago)
PAC ID
9436414000
Group Practice PAC ID
0042307852
Professional Enrollment ID
I20240718003231
Address ID
KY405083008LE310XXLIME300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

Provider Addresses for DR. BRENTLEY FROSSARD (D.O.)

  • 546 LONE OAK RD

    PADUCAH, KY 420034526

    Phone: (270) 442-3647

    Fax: (270) 442-3777

    Type: Location

  • Corinth, Alcorn County, Mississippi, United States

    GRADUATE MEDICAL EDUCATION

    CORINTH, MS 388349321

    Phone: (662) 293-7686

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $8,528.

Total Amount is formed as General ($8,528) + Research ($0) + Ownership ($0) = $8,528.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($7,974).

Total Amount

$8,528

General + Research + Ownership

Payments

42

Total payment records

General Amount

$8,528

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

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: 2024-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180531002419IEmergency MedicineMSTBD
I20240718003231IInternal MedicineKYTBD

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 42003)

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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: 0042307852View full group profile
NameSpecialtyState
-KY
Family Practice, Geriatric MedicineKY
Internal MedicineNY
Emergency Medicine, Internal MedicineMS
-MO
Family Practice, Hospitalist, Family PracticeFL
Internal MedicineTN
Internal MedicineSC
Internal MedicineNC
-TN

Reviews

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Frequently asked questions

What is DR. BRENTLEY FROSSARD (D.O.)'s NPI number?
DR. BRENTLEY FROSSARD (D.O.)'s NPI is 1508218504 — the number used across U.S. healthcare to identify this provider.
Would DR. BRENTLEY FROSSARD (D.O.) appear as active to a payer?
You can treat DR. BRENTLEY FROSSARD (D.O.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. BRENTLEY FROSSARD (D.O.)?
DR. BRENTLEY FROSSARD (D.O.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. BRENTLEY FROSSARD (D.O.)?
Travel planning: use Paducah, Kentucky as the reference point for DR. BRENTLEY FROSSARD (D.O.), then confirm.
Can I trust this NPI listing for DR. BRENTLEY FROSSARD (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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