PHILIP J FRACICA M.D.
NPI 1043320278
Internal Medicine - Pulmonary Disease in Sedalia, MO

Active since August 30, 2006PECOS Enrolled
601 E 14TH ST, SEDALIA, MO 65301(660) 827-9488 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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.

NPPES Registry Identity

NPI1043320278
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePHILIP J FRACICACredential: M.D.
Location Address601 E 14TH STSedalia, MO 65301-5972
Mailing Address601 E 14th St, Po Box 1706Sedalia, MO 65301-5972 · (660) 827-9488
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
NPI 1043320278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in AZ · 22761
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 2008007036 (MO)
601 E 14TH ST, Sedalia, MO 65301

Other Identifiers 1

Medicaid171843AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Philip J Fracica M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician 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.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
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.

Clinical Nurse Specialist (Adult Health)
601 E 14TH ST
SEDALIA, MO 65301
Advanced Practice Midwife
601 E 14TH ST
SEDALIA, MO 65301
Nurse Anesthetist, Certified Registered
601 E 14TH ST
SEDALIA, MO 65301
Nurse Anesthetist, Certified Registered
601 E 14TH ST
SEDALIA, MO 65301
Anesthesiology
601 E 14TH ST
SEDALIA, MO 65301
Nurse Practitioner (Family)
601 E 14TH ST
SEDALIA, MO 65301
Rehabilitation Practitioner
601 E 14TH ST
SEDALIA, MO 65301
Nurse Anesthetist, Certified Registered
601 E 14TH ST
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 enrollment system.

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.

When was this NPI record last updated?

The NPPES record for Philip Fracica was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.