Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAKE FRIES DO
NPI 1104400522
Family Medicine - Sports Medicine in Greenfield, IN

Active since May 11, 2021PECOS Enrolled
6189 W JOHN L MODGLIN DR STE 201, GREENFIELD, IN 46140(317) 866-7320 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, Apr 20, 2022, May 11, 2021 (3 updates tracked since 2021).

About Dr. Jake Fries Do NPPES

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

DR. JAKE FRIES DO (NPI 1104400522) is an individual sports medicine provider in Greenfield, Indiana, licensed in Indiana (02007367A) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Marian University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1104400522
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. JAKE FRIESCredential: DO
Location Address6189 W JOHN L MODGLIN DR STE 201Greenfield, IN 46140-9363
Mailing Address6189 W John L Modglin Dr Ste 201Greenfield, IN 46140-9363 · (317) 866-7320
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2021
Enumeration DateMay 11, 2021
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
NPI 1104400522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in IN · 02007367A
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedHospitalistTaxonomy 208M00000X · License 02007367A (IN)
6189 W JOHN L MODGLIN DR STE 201, Greenfield, IN 46140

Secondary Practice Locations 2

Location 12390 W Congress StLafayette, LA 70506-4205 · Phone (337) 261-6000
Location 28450 Northwest BlvdIndianapolis, IN 46278-1381 · Phone (317) 802-2000

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

Dr. Jake Fries Do 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 ID5092106252
PECOS Enrollment IDI20250930001499
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 46140 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

Family Medicine
6189 W JOHN L MODGLIN DR STE 201
GREENFIELD, IN 46140

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 Jake Fries's NPI number?

The NPI number for Jake Fries is 1104400522. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Jake Fries located?

Jake Fries practices at 6189 W John L Modglin Dr Ste 201, Greenfield, IN 46140. The listed phone number is (317) 866-7320.

What is Jake Fries's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Jake Fries enrolled in Medicare?

Yes. Jake Fries 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 Jake Fries was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.