PHILIP J FRACICA M.D.
NPI 1043320278
Internal Medicine - Pulmonary Disease in Sedalia, MO
About Philip J Fracica M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP J FRACICA M.D. (NPI 1043320278) is an individual pulmonary disease provider in Sedalia, Missouri, licensed in Arizona (22761) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of State University Of New York Downstate Medical Center (1981).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Philip J Fracica M.d. 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 Reassignment
Medicare enrollment records show Philip Fracica reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sedalia, MO 65301
- Reassigned Medicare billing, Missouri enrollment
- 196 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bothwell Regional Health Center
Acute Care Hospitals · Sedalia, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65301 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.
SEDALIA, MO 65301
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 Philip Fracica's NPI number?
The NPI number for Philip Fracica is 1043320278. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Philip Fracica located?
Philip Fracica practices at 601 E 14th St, Sedalia, MO 65301. The listed phone number is (660) 827-9488.
What is Philip Fracica's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Philip Fracica enrolled in Medicare?
Yes. Philip Fracica 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 Philip Fracica's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Fracica reassigns Medicare benefits to Bothwell Regional Health Center (Sedalia, MO). 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 Philip Fracica's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Fracica accept?
Health plans from Blue Cross and Blue Shield of Kansas City list Philip Fracica 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 Philip Fracica affiliated with any hospitals?
According to CMS data, Philip Fracica is affiliated with Bothwell Regional Health Center.
When was this NPI record last updated?
The NPPES record for Philip Fracica was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Philip J Fracica, M.D. · NPI 1043320278
Pulmonary Disease physician in Sedalia, Missouri. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1043320278 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 22761 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 E 14TH ST, Sedalia, MO 65301-5972
- **Phone:** (660) 827-9488
## 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:** Bothwell Regional Health Center (NPI 1548401896, Sedalia, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 1981
## Record status
- **NPPES last updated:** August 3, 2022
- **Other identifiers:** Medicaid 171843 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1043320278) · Data from the CMS NPPES public registry.