PHILLIP EDWARD FRY JR. DO
NPI 1003270331
Emergency Medicine in San Diego, CA

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillip Edward Fry Jr. Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP EDWARD FRY JR. DO (NPI 1003270331) is an individual emergency medicine provider in San Diego, California, licensed in California (20A17583) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Eastern New Mexico Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003270331
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePHILLIP EDWARD FRY JR.Credential: DO
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1010
Mailing Address3 Everglade CtRoswell, NM 88201-3485 · (575) 420-3425
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateMay 14, 2024
NPPES CertifiedMay 14, 2024
NPI 1003270331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · 20A17583
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
34800 BOB WILSON DR, San Diego, CA 92134

Other Names 1

Other Name (5)Phillip Edward Fry Do

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Phillip Edward Fry Jr. Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254629298
PECOS Enrollment IDI20250403003328
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern New Mexico Medical Center

Acute Care Hospitals · Roswell, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320006
Location405 W Country Club RoadRoswell, NM 88201 · Chaves County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Registered Nurse (Case Management)
34800 BOB WILSON DR
SAN DIEGO, CA 92134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Fry's NPI number?

The NPI number for Phillip Fry is 1003270331. It was assigned to this individual provider in the NPPES registry on April 12, 2016. The provider is also known as Phillip Edward Fry Do.

Where is Phillip Fry located?

Phillip Fry practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6400.

What is Phillip Fry's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Phillip Fry enrolled in Medicare?

Yes. Phillip Fry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Phillip Fry affiliated with any hospitals?

According to CMS data, Phillip Fry is affiliated with Eastern New Mexico Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Fry was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.