PAUL FRY – Orthopaedic Surgery Physician, NPI 1255322640

PAUL FRY is a healthcare provider. based in Gardnerville, Nevada. specializing in ORTHOPEDIC SURGERY. They hold a License No. G54590 (CA). The NPI Number for PAUL FRY is 1255322640

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
PAUL FRY
NPI
1255322640
Phone
(775) 782-2442
Address
1520 VIRGINIA RANCH RD
Enumeration Date
3 November 2005
Last Update Date
20 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
7754632301
Graduation Year
1983 (43 years ago)
PAC ID
1456254317
Group Practice PAC ID
0648178533
Professional Enrollment ID
I20080801000624
Address ID
NV894472561YE213XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

252 ORTHOPEDIC SURGERY in NV

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Provider Addresses for PAUL FRY

  • Virginia Ranch Road, Gardnerville, Douglas County, Nevada, 89460, United States

    SUITE 101B

    GARDNERVILLE, NV 894105731

    Phone: (775) 782-2442

    Fax: (775) 782-7205

    Type: Location

  • 973 MICA DR

    SUITE 201

    CARSON CITY, NV 897057255

    Phone: (775) 783-6190

    Fax: (775) 783-6191

    Type: Mailing

  • 1520 VIRGINIA RANCH ROAD

    SUITE 101B

    GARDNERVILLE, NV 894105731

    Phone: (775) 782-2442

    Fax: (775) 782-7205

    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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: PFIZER INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$17
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: 2006-04-25

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
I20060425000688IOrthopedic SurgeryNVTBD

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 89410)

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Provider's Procedures

PAUL FRY performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYNV20610Aspiration and/or injection of large joint or joint capsule276205

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: 0648178533View full group profile
NameSpecialtyState
Family Practice, HospitalistNV
Family PracticeNV
Family Practice, Emergency MedicineNV
Family PracticeNV
-NM
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV
Physician AssistantNV
Family PracticeNV

Reviews

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Frequently asked questions

How is PAUL FRY identified in CMS data?
CMS-hosted NPPES data lists PAUL FRY with NPI 1255322640.
Does CMS list PAUL FRY as active?
Yes — PAUL FRY is active in the NPI listing used on this page.
What is PAUL FRY best known for clinically?
Directory data describes PAUL FRY with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is PAUL FRY based?
PAUL FRY is tied to Gardnerville, Nevada in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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