Active NPI
Michael Fry
- Orthopaedic Surgery of the Spine Physician
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 6789
- Practice address
- 973 Mica Drive
Suite 201
Carson City, NV 89705-7255 - Phone
- (775) 783-6190
- Fax
- (775) 783-6191
- NPI assigned
- Nov 2, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G54589 | CA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 6789 | NV | Primary |
Addresses
Primary practice location
973 Mica Drive
Suite 201
Carson City, NV 89705-7255
Mailing address
973 Mica Dr
Suite 201
Carson City, NV 89705-7255
Phone (775) 783-6190
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200015577 | Other | CA | MEDICARE RAILROAD |
| 002003062 | Medicaid | NV | |
| 00G545890 | Medicaid | CA | |
| CC3027 | Other | NV | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040216000757 | NV | Practitioner - Orthopedic Surgery | 7810890787 | Reassigns benefits to 1 organization |
| I20080814000684 | CA | Practitioner - Orthopedic Surgery | 7810890787 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G54589 | CA | MD | Orthopaedic Surgery of the Spine Physician |
| 6789 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| James J Lynch MD LTD | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Barton Healthcare System | Current | Accepting new patients | |
| Tahoe Orthopedics & Sports Medicine, Inc. | Current | Accepting new patients | |
| James J Lynch M D LTD | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Barton Healthcare System | Past | Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients |
Locations
3850 G St
Merced, CA 95340
Phone (209) 384-6528
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100
3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575
1749 N Stewart St
Ste 50
Carson City, NV 89706
Phone (775) 392-3689
973 Mica Dr
Ste 201
Carson City, NV 89705
Phone (702) 884-5470
1470 Medical Pkwy
Ste 220
Carson City, NV 89703
2874 N Carson St
Ste 105
Carson City, NV 89706
Phone (775) 283-3321
9480 Double Diamond Pkwy
Ste 200
Reno, NV 89521
Phone (775) 348-8000
10381 Double R Blvd
Reno, NV 89521
Phone (775) 322-1200
595 Mount Rose St
Reno, NV 89509
Phone (775) 323-3660
825 S Meadows Pkwy
Ste 102
Reno, NV 89521
1465 S Meadows Pkwy
Reno, NV 89521
Phone (775) 348-8885
7700 Rancharrah Pkwy
Ste 100
Reno, NV 89511
10539 Professional Cir
Ste 201
Reno, NV 89521
Phone (775) 674-5632
9990 Double R Blvd
Ste 200
Reno, NV 89521
Phone (753) 488-8008
780 Vista Blvd
Ste 101
Sparks, NV 89434
Interoperability endpoints
- michael.fry.1@22724.direct.athenahealth.com
Organizations & group practices 22
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.
-
- Orthopaedic Surgery Physician
- South Lake Tahoe, CA
- NPI 1902131287
CA
-
- Durable Medical Equipment & Medical Supplies
- Carson City, NV
- NPI 1669157319
Orthopaedic Surgery of the Spine
-
- Home Health Agency
- South Lake Tahoe, CA
- NPI 1356348890
-
- Diagnostic Radiology Physician
- Stateline, NV
- NPI 1467046102
-
- Ambulatory Surgical Clinic/Center
- Zephyr Cove, NV
- NPI 1700963725
-
- Durable Medical Equipment & Medical Supplies
- Reno, NV
- NPI 1770243446
-
- Durable Medical Equipment & Medical Supplies
- Reno, NV
- NPI 1326708108
-
- Durable Medical Equipment & Medical Supplies
- Carson City, NV
- NPI 1548920325
-
- Durable Medical Equipment & Medical Supplies
- Sparks, NV
- NPI 1568122331
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
-
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Hospital
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Southern California Keck School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- James J Lynch M D LTDBarton Healthcare System
Practice addresses (Care Compare)
1470 Medical Pkwy
Suite 220
Carson City, NV 89703-4647
Phone (775) 348-8800
2170 B S Ave
South Lake Tahoe, CA 96150-7026
Phone (775) 348-8800
2170 S Ave
South Lake Tahoe, CA 96150
2170 S Ave
South Lake Tahoe, CA 96150-7008
2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5553
3860 Saddle Rd
South Lake Tahoe, CA 96150-8673
Phone (530) 643-5553
7700 Rancharrah Pkwy
Suite 100
Reno, NV 89511-7659
Phone (775) 348-8800
780 Vista Blvd
Suite 100
Sparks, NV 89434-6677
Phone (775) 348-8800
961 Mica Dr
Carson City, NV 89705-7269
Phone (775) 348-8800
973 Mica Dr
Suite 201
Carson City, NV 89705-7258
Phone (775) 783-6190
Hospital & facility affiliations
- Barton Memorial Hospital
- Carson Tahoe Regional Medical Center
- Carson Valley Health
- Renown Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1922099530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 MICA DR",
"address_2": "SUITE 201",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897057255",
"telephone_number": "775-783-6190",
"fax_number": "775-783-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "973 MICA DRIVE",
"address_2": "SUITE 201",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897057255",
"telephone_number": "775-783-6190",
"fax_number": "775-783-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G54589",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NV",
"license": "6789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200015577",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002003062",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G545890",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CC3027",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.