REBECCA LYNN FRYER GORDON DO
NPI 1003494899
Family Medicine in Rolla, MO

Q: 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.

Q: What is Rebecca Fryer Gordon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment

600 BLUES LAKE PKWY, ROLLA, MO 65401(573) 364-8822(573) 202-2402 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2025, Dec 24, 2024, Jul 23, 2024 and 2 more (5 updates tracked since 2021).

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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

NPI1003494899

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameREBECCA LYNN FRYER GORDONCredential: DO

Location Address600 BLUES LAKE PKWYRolla, MO 65401-8022

Mailing Address600 Blues Lake PkwyRolla, MO 65401-8022 · (573) 364-8822 · Fax (573) 202-2402

Phone(573) 364-8822

Fax(573) 202-2402

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2021

Enumeration DateApril 1, 2021

Last NPPES UpdateDecember 5, 20255 updates tracked since enumeration

NPPES CertifiedDecember 5, 2025

✔ NPI 1003494899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2023020151

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

600 BLUES LAKE PKWY, Rolla, MO 65401

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Other Names 1

Professional Name (2)Rebecca Lynn Fryer Do

Secondary Practice Locations 2

Location 11000 W 10th StRolla, MO 65401-2905 · Phone (573) 458-8899 · Fax (573) 341-5611

Location 21000 Gw LnWaynesville, MO 65583-2339 · Phone (573) 774-2715 · Fax (573) 202-2410

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

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.

PECOS PAC ID1355889635

PECOS Enrollment IDI20240817000577

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services11 patients

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, MO

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260017

Location1000 W 10th StRolla, MO 65401 · Phelps County

Emergency services Birthing friendly

Physician 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.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

ALYSSA MICHELLE BLAND FNP-C

Nurse Practitioner (Family)