FRIDOLIN HOESLY (M.D.) – Dermatology Physician, NPI 1285860288

FRIDOLIN HOESLY (M.D.) is a healthcare provider. based in Bend, Oregon. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD168020 (OR). The NPI Number for FRIDOLIN HOESLY (M.D.) is 1285860288

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
FRIDOLIN HOESLY (M.D.)
NPI
1285860288
Phone
(904) 953-2000
Address
2747 NE CONNERS AVE
Enumeration Date
4 June 2009
Last Update Date
14 August 2023

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5413825712
Graduation Year
2009 (17 years ago)
PAC ID
8325203136
Group Practice PAC ID
1153609813
Professional Enrollment ID
I20140707001970
Address ID
OR977018738BE2747XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

232 DERMATOLOGY in OR

Provider Addresses for FRIDOLIN HOESLY (M.D.)

  • 2747 NE CONNERS AVE

    BEND, OR 97701

    Phone: (904) 953-2000

    Type: Mailing

  • San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $974.

Total Amount is formed as General ($974) + Research ($0) + Ownership ($0) = $974.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($745).

Total Amount

$974

General + Research + Ownership

Payments

41

Total payment records

General Amount

$974

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2014-07-07

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
I20140707001970IDermatologyORTBD

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
17003Destruction of precancer skin growth, 2-14 growths5,726836$0
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg3,20015$0
99213Established patient office or other outpatient visit, 20-29 minutes1,9381,301$0
88305Pathology examination of tissue using a microscope, intermediate complexity1,500819$0
17000Destruction of precancer skin growth, 1 growth1,4661,032$0
View full utilization report →

Insurance plans in this area (ZIP 97701)

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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: 1153609813View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
Physician AssistantNV
Physician AssistantID
D E R M A T O L O G YNV
-AK
-ID
D E R M A T O L O G YOH
Physician AssistantTX
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

Is FRIDOLIN HOESLY (M.D.) listed with a National Provider Identifier?
Yes — FRIDOLIN HOESLY (M.D.) has NPI 1285860288 on file in the registry.
Is there an active status for FRIDOLIN HOESLY (M.D.)?
For scheduling context, FRIDOLIN HOESLY (M.D.) is shown as active in the registry.
What area of care is associated with FRIDOLIN HOESLY (M.D.)?
FRIDOLIN HOESLY (M.D.)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for FRIDOLIN HOESLY (M.D.)?
Travel planning: use Bend, Oregon as the reference point for FRIDOLIN HOESLY (M.D.), then confirm.
When was this NPI issued?
Enumeration for FRIDOLIN HOESLY (M.D.) is noted as June 4, 2009 where the registry provides it.

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