DR. FREDERICK D. JR. HARRIS (MD) – Diagnostic Radiology Physician, NPI 1124034657

DR. FREDERICK D. JR. HARRIS (MD) is a healthcare provider. based in Cape girardeau, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 2005036999 (MO). The NPI Number for DR. FREDERICK D. JR. HARRIS (MD) is 1124034657

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK D. JR. HARRIS (MD)
NPI
1124034657
Phone
(573) 334-6071
Address
70 DOCTORS PARK
Enumeration Date
1 August 2006
Last Update Date
5 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5735472536
Graduation Year
1997 (29 years ago)
PAC ID
3577580299
Group Practice PAC ID
1153777826
Professional Enrollment ID
I20051130000919
Address ID
MO637751359PE434XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,218 DIAGNOSTIC RADIOLOGY in MO

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Provider Addresses for DR. FREDERICK D. JR. HARRIS (MD)

  • 70, Doctors Park, Cape Girardeau, Cape Girardeau County, Missouri, 63703, United States

    CAPE GIRARDEAU, MO 637034928

    Phone: (573) 334-6071

    Fax: (573) 334-4739

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2023-07-03

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
I20051101000282IDiagnostic RadiologyILTBD
I20051130000919IDiagnostic RadiologyMOTBD
I20230703001535IDiagnostic RadiologyKYTBD

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
71045X-ray of chest, 1 view667642$0
70450Ct scan head or brain without contrast647634$0
74176Ct scan of abdomen and pelvis without contrast335329$0
74177Ct scan of abdomen and pelvis with contrast280279$0
71046X-ray of chest, 2 views215215$0
View full utilization report →

Insurance plans in this area (ZIP 63703)

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Provider's Procedures

DR. FREDERICK D. JR. HARRIS (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMO71250CT scan chest202194
DIAGNOSTIC RADIOLOGYMO73110X-ray of wrist, minimum of 3 views7068
DIAGNOSTIC RADIOLOGYMO73562X-ray of knee, 3 views6161
DIAGNOSTIC RADIOLOGYMO76830Ultrasound pelvis through vagina3331
DIAGNOSTIC RADIOLOGYMO93922Ultrasound study of arteries of both arms and legs4040

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: 1153777826View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Nurse PractitionerMO
Nurse PractitionerMO
Diagnostic RadiologyTN
Diagnostic RadiologyMO
Pain Management, Anesthesiology, Anesthesiology, Pain ManagementMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What number should I use to identify DR. FREDERICK D. JR. HARRIS (MD) for billing?
Administrative and clinical systems typically use NPI 1124034657 for DR. FREDERICK D. JR. HARRIS (MD).
Should I treat DR. FREDERICK D. JR. HARRIS (MD) as an active provider?
Patients and plans typically see DR. FREDERICK D. JR. HARRIS (MD) as active in the national extract.
How should patients interpret DR. FREDERICK D. JR. HARRIS (MD)'s specialty?
The extract shows Diagnostic Radiology Physician for DR. FREDERICK D. JR. HARRIS (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. FREDERICK D. JR. HARRIS (MD) in Cape Girardeau, Missouri?
For routing, start with Cape Girardeau, Missouri for DR. FREDERICK D. JR. HARRIS (MD), then verify phone and hours locally.
Can I export DR. FREDERICK D. JR. HARRIS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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