Individual provider Active NPI

Robert W.E. Fry, M.D.

  • Orthopaedic Surgery Physician
  • Templeton, CA
National Provider Identifier
1679738504
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A115889 Issued in CA
Practice address
1111 Las Tablas Rd Ste R
Templeton, CA 93465-9732
Phone
(805) 434-4848
Fax
(855) 902-6131
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A115889 CA Primary

Addresses

Primary practice location

1111 Las Tablas Rd Ste R
Templeton, CA 93465-9732

Mailing address

1111 Las Tablas Rd Ste R
Templeton, CA 93465-9732
Phone (805) 434-4848

Other practice location 1

1225 N H St
Lompoc, CA 93436-3301
Phone (805) 681-1761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000868 CA Practitioner - Orthopedic Surgery 9234308776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Emory University School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians
Southern Monterey County Memorial HospitalGroup PAC ID 7719883461, 33 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

1111 Las Tablas Rd
Suite R
Templeton, CA 93465-9732
Phone (805) 286-4416

210 Canal St
King City, CA 93930-3432
Phone (931) 385-7100

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633
  • Southern Monterey County Memorial Hospital Hospital, King City, CA, CCN 051336
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A115889CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Jun 1, 2021 Accepting new patients
DHP of Twin Cities Medical Group Inc Orthopaedic Surgery CurrentSince Apr 1, 2019 Accepting new patients
Robert We Fry MD Inc. Orthopaedic Surgery CurrentSince Jun 29, 2018 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Jun 1, 2021 Accepting new patients
Kevin Forsythe MD Inc Orthopaedic Surgery Current Accepting new patients
Sierra Vista Hospital Past Accepting new patients
Okaloosa Hospital Inc Past Accepting new patients
Scripps Health Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Tri-City Hospital Past Accepting new patients
Palomar Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

210 Canal St
King City, CA 93930
Phone (931) 385-7100

300 Canal St
King City, CA 93930
Phone (831) 385-6000

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

1111 Las Tablas Rd
Ste R
Templeton, CA 93465
Phone (805) 286-4416

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1679738504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LAS TABLAS RD STE R",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659732",
            "telephone_number": "805-434-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LAS TABLAS RD STE R",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659732",
            "telephone_number": "805-434-4848",
            "fax_number": "855-902-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 N H St",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934363301",
            "country_code": "US",
            "telephone_number": "805-681-1761",
            "fax_number": "805-681-1768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRY",
        "first_name": "ROBERT",
        "middle_name": "W.E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A115889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.