THOMAS B FREY (PAC) – Physician Assistant, NPI 1639130503

THOMAS B FREY (PAC) is a healthcare provider. based in Myerstown, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. MA051864 (PA). The NPI Number for THOMAS B FREY (PAC) is 1639130503

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS B FREY (PAC)
NPI
1639130503
Phone
(717) 866-5755
Address
431 W LINCOLN AVE
Enumeration Date
30 March 2006
Last Update Date
20 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4846583150
Graduation Year
2004 (22 years ago)
PAC ID
4284696535
Group Practice PAC ID
6406131622
Professional Enrollment ID
I20041029000608
Address ID
PA195121300BO137XXAVEX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for THOMAS B FREY (PAC)

  • West Lincoln Avenue, Myerstown, Lebanon County, Pennsylvania, 17067, United States

    MYERSTOWN, PA 170672328

    Phone: (717) 866-5755

    Fax: (717) 866-7120

    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)

CMS reports 43 Open Payments records for all available years, with a total value of $667.

Total Amount is formed as General ($667) + Research ($0) + Ownership ($0) = $667.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($278).

Total Amount

$667

General + Research + Ownership

Payments

43

Total payment records

General Amount

$667

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2004-10-29

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
I20041029000608IPhysician AssistantPATBD

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 17067)

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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: 6406131622View full group profile
NameSpecialtyState
Geriatric Medicine, Internal MedicinePA
Family PracticePA
Nurse PractitionerPA
Nurse PractitionerPA
Internal MedicinePA
Nephrology, Internal MedicinePA
Physical Medicine And RehabilitationPA
Family PracticePA
Orthopedic SurgeryPA
Internal MedicinePA

Reviews

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Frequently asked questions

What identifier follows THOMAS B FREY (PAC) across health systems?
The NPI 1639130503 uniquely identifies THOMAS B FREY (PAC) in U.S. healthcare data.
Is THOMAS B FREY (PAC)'s NPI status active today?
Active status means THOMAS B FREY (PAC)'s NPI record is not deactivated in the public file.
What does the directory say THOMAS B FREY (PAC) does?
Insurance directories may phrase it differently, but here THOMAS B FREY (PAC) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit THOMAS B FREY (PAC) in Myerstown, Pennsylvania?
For routing, start with Myerstown, Pennsylvania for THOMAS B FREY (PAC), then verify phone and hours locally.
Can I export THOMAS B FREY (PAC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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