EVAN FRY PA-C - NPI 1083572770 - Physician Assistant in Brighton, MI

Q: What is Evan Fry's NPI number?

The NPI number for Evan Fry is 1083572770. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Q: What is Evan Fry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Fry was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

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About Evan Fry Pa-c NPPES

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

EVAN FRY PA-C (NPI 1083572770) is an individual physician assistant in Brighton, Michigan, licensed in Michigan (5601013942) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083572770

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameEVAN FRYCredential: PA-C

Location Address5505 S OLD US 23 STE 100Brighton, MI 48116-7524

Mailing Address24 Frank Lloyd Wright Dr Ste J2000Ann Arbor, MI 48105-9484 · (734) 747-6766 · Fax (734) 222-3100

Phone(810) 494-6885

Fax(810) 494-6839

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 12, 2026

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1083572770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601013942

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5505 S OLD US 23 STE 100, Brighton, MI 48116

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Fry Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032687108

PECOS Enrollment IDI20260506003733

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 48116 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 7

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

DR. RAYMOND PAUL SMITH M.D.

Family Medicine