DR. JERRY WALTER FROELICH (M.D.) – Diagnostic Radiology Physician, NPI 1093744120
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JERRY WALTER FROELICH (M.D.)
Mayo Memorial Building, 420, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States
UNIVERSITY OF MINNESOTA PHYSICIANS, MMC 292
MINNEAPOLIS, MN 554550341
Phone: (612) 626-3345
Type: Mailing
Phillips-Wangensteen Building, 516, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States
UNIV.OF MN PHYSICIANS, PWB FIRST FLOOR, CLINIC 1D
MINNEAPOLIS, MN 554550356
Phone: (612) 273-6004
Fax: (612) 273-8459
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $2,090.
Total Amount is formed as General ($2,090) + Research ($0) + Ownership ($0) = $2,090.
Last reported payment date: 2023-03-17 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($2,090).
Total Amount
$2,090
General + Research + Ownership
Payments
1
Total payment records
General Amount
$2,090
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $2,090 |
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: 2004-01-28
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 |
|---|---|---|---|---|
| I20040128000346 | I | Diagnostic Radiology | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 78816 | Nuclear medicine study whole body with ct scan | 46 | 45 | $0 |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 26 | 24 | $0 |
| 79101 | Radioactive drug therapy through a vein | 14 | 12 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 12 | 12 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 12 | 12 | $0 |
Insurance plans in this area (ZIP 55455)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MN | 71250 | CT scan chest | 47 | 47 |
| DIAGNOSTIC RADIOLOGY | MN | 74177 | CT scan of abdomen and pelvis with contrast | 52 | 49 |
| DIAGNOSTIC RADIOLOGY | MN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 38 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL |
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