Individual provider Active NPI

Michael Fry

  • Orthopaedic Surgery of the Spine Physician
  • Carson City, NV
National Provider Identifier
1922099530
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
6789 Issued in NV
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

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200015577OtherCAMEDICARE RAILROAD
002003062MedicaidNV
00G545890MedicaidCA
CC3027OtherNVBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
G54589CAMDOrthopaedic Surgery of the Spine Physician
6789NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Jul 24, 2020 Accepting new patients
James J Lynch MD LTD CurrentSince Jan 1, 2022 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Barton Healthcare System CurrentSince Jul 28, 2018 Accepting new patients
Tahoe Orthopedics & Sports Medicine, Inc. CurrentSince Feb 1, 2016 Accepting new patients
James J Lynch M D LTD Orthopaedic Surgery of the Spine CurrentSince Jan 1, 2022 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

  • Direct secure messaging: 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.

View all 22

Hospital & facility affiliations 7

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

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 LTD 81 clinicians
Barton Healthcare System 24 clinicians

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 Hospital, South Lake Tahoe, CA, CCN 050352
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
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

Verify at the official NPI Registry.