KEVIN GARY FRAZER (M.D.) – Family Medicine Physician, NPI 1740418284

KEVIN GARY FRAZER (M.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2012008857 (MO). The NPI Number for KEVIN GARY FRAZER (M.D.) is 1740418284

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN GARY FRAZER (M.D.)
NPI
1740418284
Phone
(573) 882-3300
Address
PO BOX 843966
Enumeration Date
23 June 2009
Last Update Date
14 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
6602482217
Graduation Year
2009 (17 years ago)
PAC ID
6901054865
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20120918000588
Address ID
MO652481243FA308XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

2,330 FAMILY PRACTICE in MO

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Provider Addresses for KEVIN GARY FRAZER (M.D.)

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641843966

    Phone: (573) 882-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 308, Church Street, Central Business District, Lexington, Fayette County, Kentucky, 40507, United States

    FAYETTE, MO 652481243

    Phone: (660) 248-2217

    Fax: (660) 248-3450

    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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Exact Sciences Corporation ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2012-09-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120918000588IFamily PracticeMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes287152$0
99213Established patient office or other outpatient visit, 20-29 minutes144107$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9238$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4530$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4343$0
View full utilization report →

Insurance plans in this area (ZIP 64184)

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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: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

Does KEVIN GARY FRAZER (M.D.) have a public NPI I can cite?
Public records show KEVIN GARY FRAZER (M.D.) under NPI 1740418284.
Should I treat KEVIN GARY FRAZER (M.D.) as an active provider?
Patients and plans typically see KEVIN GARY FRAZER (M.D.) as active in the national extract.
How should patients interpret KEVIN GARY FRAZER (M.D.)'s specialty?
The extract shows Family Medicine Physician for KEVIN GARY FRAZER (M.D.). Clinical services aligned with this taxonomy classification.
Is KEVIN GARY FRAZER (M.D.) tied to Kansas City, Missouri?
If you are local to Kansas City, Missouri, KEVIN GARY FRAZER (M.D.) may be relevant to your search.
Who maintains KEVIN GARY FRAZER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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