MRS. KATHLEEN M FRYBURGER (P.A.) – Physician Assistant, NPI 1053396077

MRS. KATHLEEN M FRYBURGER (P.A.) is a healthcare provider. based in Fredericksburg, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA01528 (TX). The NPI Number for MRS. KATHLEEN M FRYBURGER (P.A.) is 1053396077

Main info

Female
31 Years Of Experience
Name
MRS. KATHLEEN M FRYBURGER (P.A.)
NPI
1053396077
Phone
(830) 997-2181
Address
1308 SOUTH HIGHWAY 16
Enumeration Date
13 December 2005
Last Update Date
8 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
83099740002057
Graduation Year
1995 (31 years ago)
PAC ID
4183620339
Group Practice PAC ID
4082947999
Professional Enrollment ID
I20061011000112
Address ID
TX786244480FR205XXSTXX400
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

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MRS. KATHLEEN M FRYBURGER (P.A.)

  • Fredericksburg, Fredericksburg City, Virginia, United States

    FREDERICKSBURG, TX 78624

    Phone: (830) 997-2181

    Fax: (830) 997-9598

    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 23 Open Payments records for all available years, with a total value of $764.

Total Amount is formed as General ($764) + Research ($0) + Ownership ($0) = $764.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GENZYME CORPORATION ($225).

Total Amount

$764

General + Research + Ownership

Payments

23

Total payment records

General Amount

$764

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2006-10-11

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
I20061011000112IPhysician AssistantTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,001570$0
95117Professional service for multiple injections of allergen60967$0
69210Removal of impacted ear wax468282$0
31231Diagnostic exam of nasal passages using an endoscope329218$0
99213Established patient office or other outpatient visit, 20-29 minutes226164$0
View full utilization report →

Insurance plans in this area (ZIP 78624)

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Provider's Procedures

MRS. KATHLEEN M FRYBURGER (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX81002Urinalysis, manual test3333
PHYSICIAN ASSISTANTTX83036Hemoglobin A1C level1515

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: 4082947999View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YTX
Physician AssistantTX

Reviews

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Frequently asked questions

Does MRS. KATHLEEN M FRYBURGER (P.A.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. KATHLEEN M FRYBURGER (P.A.) uses 1053396077.
Does the file indicate MRS. KATHLEEN M FRYBURGER (P.A.) is practicing under active NPI?
Directory data currently reports MRS. KATHLEEN M FRYBURGER (P.A.) as active.
What healthcare role does MRS. KATHLEEN M FRYBURGER (P.A.) hold?
Scheduling teams often label MRS. KATHLEEN M FRYBURGER (P.A.) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. KATHLEEN M FRYBURGER (P.A.)?
MRS. KATHLEEN M FRYBURGER (P.A.)'s geographic hint is Fredericksburg, Texas in our summary view.
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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