Individual provider Active NPI

Frederick Web Fraunfelder, M.D.

  • Cornea and External Diseases Specialist Physician
  • Saint Louis, MO
National Provider Identifier
1962453241
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
2014008010 Issued in MO
Practice address
1066 Executive Parkway Dr Ste 200
Saint Louis, MO 63141-6340
Phone
(314) 394-3201
Fax
(314) 394-3253
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2014008010 MO
Ophthalmology Physician 207W00000X 036.181592 IL
Cornea and External Diseases Specialist Physician 207WX0120X 2014008010 MO Primary

Addresses

Primary practice location

1066 Executive Parkway Dr Ste 200
Saint Louis, MO 63141-6340

Mailing address

PO Box 736480
Chicago, IL 60673-1407
Phone (573) 884-3300

Other practice location 1

7331 Watson Rd
Saint Louis, MO 63119-4405
Phone (314) 633-8575

Other practice location 2

12990 Manchester Rd Ste 200
Des Peres, MO 63131-1860
Phone (314) 966-5000

Other practice location 3

2121 S State Route 157
Edwardsville, IL 62025-3607
Phone (618) 277-1130

Other practice location 4

1310 Dadrian Prof Park
Godfrey, IL 62035-1685
Phone (618) 433-5005

Other practice location 5

3513 Harry S Truman Blvd
Saint Charles, MO 63301-4077
Phone (636) 688-7501

Other practice location 6

1821 N Webb Rd Ste 201
Wichita, KS 67206-3435
Phone (316) 684-5158

Other practice location 7

12 Professional Park Dr
Maryville, IL 62062-5672
Phone (618) 288-7266

Other practice location 8

2421 Corporate Ctr
Granite City, IL 62040-4148
Phone (618) 931-6980

Other practice location 9

3990 N Illinois St
Swansea, IL 62226-1919
Phone (618) 277-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140612002245 MO Practitioner - Ophthalmology 0749315778

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15933 Clayton Rd
Suite 210
Ballwin, MO 63011-2154

PO Box
Chicago, IL 60673

Hospital & facility affiliations

  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141
  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014008010MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Curators of the University of Missouri CurrentSince May 19, 2014 Accepting new patients
Ophthalmology Consultants, LLC Ophthalmology CurrentSince Aug 1, 2026 Accepting new patients
Curators of the University of Missouri CurrentSince May 19, 2014 Accepting new patients
Oregon Health Sciences University Department of Ophthalmology Past Accepting new patients
Clarkson Optometry Illinois, P.C. Past Accepting new patients
Ophthalmology Consultants, LLC Ophthalmology PastSince Aug 1, 2026 Accepting new patients

Locations

3215 Wingate Ct
Ste 102
Columbia, MO 65201
Phone (573) 882-8920

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

3513 Harry S Truman Blvd
Saint Charles, MO 63301
Phone (636) 688-7500

12990 Manchester Rd
Ste 200
Saint Louis, MO 63131
Phone (314) 966-5000

7331 Watson Rd
Saint Louis, MO 63119
Phone (314) 633-8575

1066 Executive Parkway Dr
Ste 200
Saint Louis, MO 63141
Phone (314) 394-3201

Organizations & group practices 6

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1962453241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736480",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731407",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 EXECUTIVE PARKWAY DR STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416340",
            "telephone_number": "314-394-3201",
            "fax_number": "314-394-3253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7331 Watson Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631194405",
            "country_code": "US",
            "telephone_number": "314-633-8575",
            "fax_number": "314-743-8399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12990 Manchester Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Des Peres",
            "state": "MO",
            "postal_code": "631311860",
            "country_code": "US",
            "telephone_number": "314-966-5000",
            "fax_number": "314-909-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 S State Route 157",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253607",
            "country_code": "US",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Dadrian Prof Park",
            "address_purpose": "LOCATION",
            "city": "Godfrey",
            "state": "IL",
            "postal_code": "620351685",
            "country_code": "US",
            "telephone_number": "618-433-5005",
            "fax_number": "618-277-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3513 Harry S Truman Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633014077",
            "country_code": "US",
            "telephone_number": "636-688-7501",
            "fax_number": "636-688-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 N Webb Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063435",
            "country_code": "US",
            "telephone_number": "316-684-5158",
            "fax_number": "316-681-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620625672",
            "country_code": "US",
            "telephone_number": "618-288-7266",
            "fax_number": "618-277-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2421 Corporate Ctr",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404148",
            "country_code": "US",
            "telephone_number": "618-931-6980",
            "fax_number": "618-277-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3990 N Illinois St",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622261919",
            "country_code": "US",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-4917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAUNFELDER",
        "first_name": "FREDERICK",
        "middle_name": "WEB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2014008010",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.181592",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MO",
            "license": "2014008010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.