DR. CHARLES T FRIES (EDD) – Psychologist, NPI 1003970625

DR. CHARLES T FRIES (EDD) is a healthcare provider. based in Tyler, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials EDD. They hold a License No. 21305 (TX). The NPI Number for DR. CHARLES T FRIES (EDD) is 1003970625

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES T FRIES (EDD)
NPI
1003970625
Phone
(903) 526-5550
Address
3800 PALUXY DR
Enumeration Date
20 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035265550
Graduation Year
1975 (51 years ago)
PAC ID
2264699198
Professional Enrollment ID
I20120206000312
Address ID
TX757031659TY3800XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for DR. CHARLES T FRIES (EDD)

  • 3800, Paluxy Drive, Tyler, Smith County, Texas, 75703, United States

    SUITE 440

    TYLER, TX 75703

    Phone: (903) 526-5550

    Fax: (903) 526-5551

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-02-06

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
I20120206000312IClinical PsychologistTXTBD

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
96137Administration of psychological or neuropsychological test, each additional 30 minutes24323$0
96130Evaluation of psychological test, first hour3822$0
96131Evaluation of psychological test, each additional hour3518$0
90791Psychiatric diagnostic evaluation2726$0
96136Administration of psychological or neuropsychological test, first 30 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 75703)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. CHARLES T FRIES (EDD)'s NPI?
Yes. DR. CHARLES T FRIES (EDD) is listed with NPI 1003970625 in the public NPI dataset.
Can I rely on DR. CHARLES T FRIES (EDD) being an active provider?
As of the registry snapshot, DR. CHARLES T FRIES (EDD) is marked active.
What is DR. CHARLES T FRIES (EDD)'s primary classification?
Psychologist is the headline specialty for DR. CHARLES T FRIES (EDD) here. Clinical services aligned with this taxonomy classification.
Does DR. CHARLES T FRIES (EDD) list a practice location?
Patients near Tyler, Texas may find DR. CHARLES T FRIES (EDD) in results; validate coverage separately.
Why does DR. CHARLES T FRIES (EDD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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