MR. PAUL DAVID FRY (PA-C) – Medical Physician Assistant, NPI 1912961061
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. PAUL DAVID FRY (PA-C)
110 S 9th Ave
Yakima, WA 989023315
Phone: (509) 575-5061
Type: Location
Lompoc Valley Medical Center, 1515, East Ocean Avenue, Lompoc, Santa Barbara County, California, 93463, United States
LOMPOC, CA 934367092
Phone: (805) 737-8700
Type: Mailing
1225, North H Street, Lompoc, Santa Barbara County, California, 93436, United States
LOMPOC, CA 93436
Phone: (805) 737-8700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $234.
Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($56).
Total Amount
$234
General + Research + Ownership
Payments
12
Total payment records
General Amount
$234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $56 |
| Exact Sciences Corporation | $40 |
| PFIZER INC. | $31 |
| Inspire Medical Systems, Inc. | $23 |
| Novo Nordisk Inc | $23 |
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: 2011-06-09
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 |
|---|---|---|---|---|
| I20110609000409 | I | Physician Assistant | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98902)
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