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ETHAN FRYE DC
NPI 1033805817
Chiropractor in Carrollton, IL

Active since April 13, 2023Accepts Medicare Assignment
306 5TH ST, CARROLLTON, IL 62016(217) 942-6272 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ethan Frye Dc NPPES

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

ETHAN FRYE DC (NPI 1033805817) is an individual chiropractor in Carrollton, Illinois, licensed in Illinois (038013973) and active in the NPI registry since April 2023. He is a graduate of Logan College Of Chiropractic (2022).

NPPES Registry Identity

NPI1033805817
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameETHAN FRYECredential: DC
Location Address306 5TH STCarrollton, IL 62016-1325
Mailing Address306 5th StCarrollton, IL 62016-1325 · (217) 942-6272
Phone(217) 942-6272
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2022
Enumeration DateApril 13, 2023
NPPES CertifiedApril 13, 2023
✔ NPI 1033805817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038013973
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
306 5TH ST, Carrollton, IL 62016
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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

Ethan Frye Dc 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 ID749645398
PECOS Enrollment IDI20230503002339

Medicare Billing Reassignment

Medicare enrollment records show Ethan Frye reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Frye Chiropractic LLC
Same address
Chiropractor
306 5TH ST
Carrollton, IL 62016
  • Reassigned Medicare billing, Illinois enrollment
NPI 1407692825 (217) 942-6272

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 2

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
262 services68 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
253 services103 patients

Other Providers at the Same Location NPPES 2

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

FRYE CHIROPRACTIC LLC
Chiropractor
306 5TH ST
CARROLLTON, IL 62016
Greene County (217) 942-6272
APPLIED MEDICAL AND PERFORMANCE SOLUTIONS INC
Community/Behavioral Health
306 5TH ST
CARROLLTON, IL 62016
Greene County (217) 942-6272

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 Ethan Frye's NPI number?

The NPI number for Ethan Frye is 1033805817. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Ethan Frye located?

Ethan Frye practices at 306 5th St, Carrollton, IL 62016. The listed phone number is (217) 942-6272.

What is Ethan Frye's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ethan Frye enrolled in Medicare?

Yes. Ethan Frye 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 organization bills Medicare for Ethan Frye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Frye reassigns Medicare benefits to Frye Chiropractic LLC (Carrollton, IL). The 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 Ethan Frye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Frye was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.