DR. KENNETH STEVEN FRIED (M.D.) – Surgery Physician, NPI 1225085152
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
984 GENERAL SURGERY in NJ
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Provider Addresses for DR. KENNETH STEVEN FRIED (M.D.)
21, Irene Court, Demarest, Bergen County, New Jersey, 07627, United States
DEMAREST, NJ 076271207
Phone: (201) 767-3288
Type: Mailing
180, North Dean Street, Englewood, Bergen County, New Jersey, 07631, United States
ENGLEWOOD, NJ 076312534
Phone: (201) 568-8666
Fax: (201) 568-2941
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $54.
Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($40).
Total Amount
$54
General + Research + Ownership
Payments
3
Total payment records
General Amount
$54
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $40 |
| ConvaTec Inc. | $14 |
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: 2012-06-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120625000369 | I | General Surgery | NJ | 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 |
|---|---|---|---|---|
| 12021 | Repair of separation of wound closure with insertion of packing | 54 | 16 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 53 | 22 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 27 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 12 | $0 |
Insurance plans in this area (ZIP 07627)
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