Active NPI
Andrew Paul Freese, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- R6780
- Practice address
- 2419 W Southlake Blvd Ste 100
Southlake, TX 76092 - Phone
- (817) 809-2660
- NPI assigned
- Jun 26, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R6780 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | R-10796 | IA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11016735 | IN | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | R6780 | TX | Primary |
Addresses
Primary practice location
2419 W Southlake Blvd Ste 100
Southlake, TX 76092
Mailing address
2419 W Southlake Blvd
Southlake, TX 76092-1505
Phone (817) 809-2660
Other practice location 1
2419 W Southlake Blvd Ste 100
Southlake, TX 76092
Phone (817) 809-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Orthopedic Surgery
- Education
- University of Texas Medical Branch at Galveston, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2005 W Park Dr
Suite 100 Arlington Or
Irving, TX 75061-2034
Phone (817) 375-5347
2423 W Airport Fwy
Irving, TX 75062-6016
Phone (817) 375-5200
2716 Travis Dr
Desoto, TX 75115-2089
Phone (817) 375-5200
800 Orthopedic Way
Dba Arlington Ortho
Arlington, TX 76015-1629
Phone (817) 375-5200
Hospital & facility affiliations
- Baylor Scott and White Orthopedic and Spine Hospi
- Baylor Scott & White Medical Center at Irving
- Methodist Charlton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.4 of 100
- Quality
- 77.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6780 | TX | MD | Orthopaedic Surgery Physician |
| R-10796 | IA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthotx, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthotx, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Doctx3 PLLC | Past | Accepting new patients |
Locations
701 Highlander Blvd
#370
Arlington, TX 76015
800 Orthopedic Way
Arlington, TX 76015
Phone (817) 375-5375
2716 Travis Dr
Desoto, TX 75115
Phone (817) 375-5246
2005 W Park Dr
Ste 100
Irving, TX 75061
Phone 81737552005375
2423 W Airport Fwy
Irving, TX 75062
Phone (817) 375-5312
1441 S Midlothian Pkwy
Ste 130
Midlothian, TX 76065
Interoperability endpoints
- andrew.freese.1@15749.direct.athenahealth.com
- afreese@aoaortho.gwaydirect.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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Arlington, TX
- NPI 1336134469
-
- Durable Medical Equipment & Medical Supplies
- Fort Worth, TX
- NPI 1831919679
Orthopaedic Surgery
-
- Clinic/Center
- Irving, TX
- NPI 1316481724
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1346570710
-
- Psychiatric Hospital Unit
- Irving, TX
- NPI 1114268471
-
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1942564778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 W SOUTHLAKE BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921505",
"telephone_number": "817-809-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 W SOUTHLAKE BLVD STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "76092",
"telephone_number": "817-809-2660"
}
],
"practiceLocations": [
{
"address_1": "2419 W Southlake Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "76092",
"country_code": "US",
"telephone_number": "817-809-2660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREESE",
"first_name": "ANDREW",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "R6780",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IA",
"license": "R-10796",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11016735",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "R6780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.