REBECCA LYNN FRYER GORDON DO
NPI 1003494899
Family Medicine in Rolla, MO
About Rebecca Lynn Fryer Gordon Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA LYNN FRYER GORDON DO (NPI 1003494899) is an individual family medicine provider in Rolla, Missouri, licensed in Missouri (2023020151) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rebecca Lynn Fryer Gordon 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.
Medicare Billing Reassignments
2Medicare enrollment records show Rebecca Fryer Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rolla, MO 65401
- Reassigned Medicare billing, Missouri enrollment
- 145 clinicians in this Medicare group
Rolla, MO 65401
- Reassigned Medicare billing, Missouri enrollment
- 195 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phelps County Regional Medical Center
Acute Care Hospitals · Rolla, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Rebecca Fryer Gordon's NPI number?
The NPI number for Rebecca Fryer Gordon is 1003494899. It was assigned to this individual provider in the NPPES registry on April 1, 2021. The provider is also known as Rebecca Lynn Fryer Do.
Where is Rebecca Fryer Gordon located?
Rebecca Fryer Gordon practices at 600 Blues Lake Pkwy, Rolla, MO 65401. The listed phone number is (573) 364-8822.
What is Rebecca Fryer Gordon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rebecca Fryer Gordon enrolled in Medicare?
Yes. Rebecca Fryer Gordon 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.
Which organizations bill Medicare for Rebecca Fryer Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Fryer Gordon reassigns Medicare benefits to 2 organizations: Pcrmc Medical Group, Inc (Rolla, MO) and Phelps County Regional Medical Center (Rolla, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Fryer Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Fryer Gordon accept?
Health plans from Anthem Blue Cross and Blue Shield list Rebecca Fryer Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Rebecca Fryer Gordon affiliated with any hospitals?
According to CMS data, Rebecca Fryer Gordon is affiliated with Phelps County Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Rebecca Fryer Gordon was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Rebecca Lynn Fryer Gordon, DO · NPI 1003494899
Family Medicine physician in Rolla, Missouri. Individual provider, active in the CMS NPPES registry since April 1, 2021.
## Identity
- **NPI:** 1003494899 (Entity type: Individual)
- **Enumerated:** April 1, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2023020151 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 BLUES LAKE PKWY, Rolla, MO 65401-8022
- **Phone:** (573) 364-8822 · **Fax:** (573) 202-2402
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pcrmc Medical Group, Inc (NPI 1508056540, Rolla, MO); Phelps County Regional Medical Center (NPI 1366066037, Rolla, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa, class of 2021
## Record status
- **NPPES last updated:** December 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003494899) · Data from the CMS NPPES public registry.