DR. JAKE FRIES DO
NPI 1104400522
Family Medicine - Sports Medicine in Greenfield, IN
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 a secondary practice location in Indianapolis, and is a graduate of Marian University College Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jake Fries reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenfield, IN 46140
- Reassigned Medicare billing, Indiana enrollment
- 348 clinicians in this Medicare group
Greenfield, IN 46140
- Reassigned Medicare billing, Indiana enrollment
- 203 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Jake Fries's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Fries reassigns Medicare benefits to 2 organizations: Orthopaedics-Indianapolis, Inc. (Greenfield, IN) and Hancock Physician Network, LLC (Greenfield, IN). Each 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 Jake Fries's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jake Fries accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Jake Fries 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 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 2 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.
# Dr. Jake Fries, DO · NPI 1104400522
Sports Medicine physician in Greenfield, Indiana. Individual provider, active in the CMS NPPES registry since May 11, 2021.
## Identity
- **NPI:** 1104400522 (Entity type: Individual)
- **Enumerated:** May 11, 2021
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** 02007367A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6189 W JOHN L MODGLIN DR STE 201, Greenfield, IN 46140-9363
- **Phone:** (317) 866-7320
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Orthopaedics-Indianapolis, Inc. (NPI 1164753778, Greenfield, IN); Hancock Physician Network, LLC (NPI 1609806470, Greenfield, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Marian University College Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** August 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104400522) · Data from the CMS NPPES public registry.