THOMAS JOHN FRALICH
NPI 1053614628
Emergency Medicine in Fort Collins, CO

Active since December 20, 2010PECOS EnrolledAccepts Medicare Assignment
88.61/100
CMS Quality Rating
1024 S LEMAY AVE, FORT COLLINS, CO 80524(303) 306-7783(303) 306-7753 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas John Fralich NPPES

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

THOMAS JOHN FRALICH (NPI 1053614628) is an individual emergency medicine provider in Fort Collins, Colorado, licensed in Colorado (DR.0051925) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1053614628
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS JOHN FRALICH
Location Address1024 S LEMAY AVEFort Collins, CO 80524-3929
Mailing AddressPo Box 912215Denver, CO 80291-2215 · (303) 306-7783 · Fax (303) 306-7753
Fax(303) 306-7753
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 20, 2010
Last NPPES UpdateFebruary 19, 2014
NPI 1053614628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CO · DR.0051925 Licensed in CA · A117067
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1024 S LEMAY AVE, Fort Collins, CO 80524

Other Names 1

Professional Name (2)Thomas John Fralich M.d.

Other Identifiers 2

Medicare PIN303116YLA0CO
Medicaid66456762CO

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

Thomas John Fralich 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 ID547404741
PECOS Enrollment IDI20130909000667
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
253 services251 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
196 services184 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
117 services116 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
42 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80524 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers18 claims18 services$17.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers32 claims32 services$84.07 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Dietitian, Registered
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Physician Assistant
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Social Worker (Clinical)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Physician Assistant (Medical)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Radiology (Diagnostic Radiology)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Radiology (Diagnostic Radiology)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Radiology (Diagnostic Radiology)
1024 S LEMAY AVE
FORT COLLINS, CO 80524

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 Thomas Fralich's NPI number?

The NPI number for Thomas Fralich is 1053614628. It was assigned to this individual provider in the NPPES registry on December 20, 2010. The provider is also known as Thomas John Fralich M.D..

Where is Thomas Fralich located?

Thomas Fralich practices at 1024 S Lemay Ave, Fort Collins, CO 80524. The listed phone number is (303) 306-7783.

What is Thomas Fralich's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Fralich enrolled in Medicare?

Yes. Thomas Fralich 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.

When was this NPI record last updated?

The NPPES record for Thomas Fralich was last updated on February 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.