Individual provider Active NPI

Andrew Paul Freese, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Southlake, TX
National Provider Identifier
1942564778
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
R6780 Issued in TX
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

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022000787 TX Practitioner - Orthopedic Surgery 8022255033 Reassigns benefits to 1 organization

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
Orthotx PLLCGroup PAC ID 9739161704, 83 clinicians

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 Hospital, Arlington, TX, CCN 670067
  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Merit-based Incentive Payment System (MIPS)

Final score
89.4 of 100Reported as group
Quality
77.91
Promoting interoperability
100
Improvement activities
40
Cost
86.76

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
R6780TXMDOrthopaedic Surgery Physician
R-10796IAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotx, PLLC Orthopaedic Surgery CurrentSince Nov 11, 2019 Accepting new patients
Orthotx, PLLC Orthopaedic Surgery CurrentSince Nov 11, 2019 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

  • Direct secure messaging: andrew.freese.1@15749.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.