Active NPI
Stephen Fuller Fryer, D.O.
- Family Medicine Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- WV2006
- Practice address
- 120 Medical Park Dr
Suite 300
Bridgeport, WV 26330-9012 - Phone
- (304) 624-7200
- Fax
- (304) 423-5302
- NPI assigned
- Jan 2, 2007
- Last updated
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | WV2006 | WV | Primary |
Addresses
Primary practice location
120 Medical Park Dr
Suite 300
Bridgeport, WV 26330-9012
Mailing address
PO Box 763
Morgantown, WV 26507-0763
Phone (800) 541-4009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2652133 | Medicaid | OH | |
| 3810002530 | Medicaid | WV |
Other names 1
- S. Casey Fryer
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfryer43529@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | sfryer43529@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Medical Park Dr
Suite 300
Bridgeport, WV 26330-9013
Phone (681) 342-3300
Hospital & facility affiliations
- Wvuhs Home Care
- Adoration Home Health
- United Hospital Center, Inc
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV2006 | WV | MD | Family Medicine Physician |
| 2006 | WV | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physicians Care Inc | Family Medicine | Current | Accepting new patients |
| United Physicians Care Inc | Family Medicine | Current | Accepting new patients |
| S. Casey Fryer DO, PLLC | Family Medicine | Past | Accepting new patients |
Locations
120 Medical Park Dr
Ste 300
Bridgeport, WV 26330
Phone (304) 624-7200
1370 Johnson Ave
Ste 102
Bridgeport, WV 26330
Phone (681) 342-3452
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
1664 E Pike St
Clarksburg, WV 26301
Phone (304) 709-7000
626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401
401 N Pike St
Grafton, WV 26354
Phone (304) 265-1350
2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000
Interoperability endpoints
- sfryer43529@direct.wvuhsdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Shinnston, WV
- NPI 1184849200
-
dba Pinewood Medical Center
- Family Medicine Physician
- Grafton, WV
- NPI 1891863874
-
- Family Medicine Physician
- Bridgeport, WV
- NPI 1902957681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health
- Home Health Agency
- Morgantown, WV
- NPI 1215976592
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1598822207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 763",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265070763",
"telephone_number": "800-541-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MEDICAL PARK DR",
"address_2": "SUITE 300",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309012",
"telephone_number": "304-624-7200",
"fax_number": "304-423-5302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYER",
"first_name": "STEPHEN",
"middle_name": "FULLER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "WV2006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2652133",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810002530",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfryer43529@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "120 Medical Park Dr Ste 300",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263309013",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfryer43529@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "120 Medical Park Dr",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263309012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "S.",
"last_name": "FRYER",
"middle_name": "CASEY",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.