LYNNE MARIE FRIES PA-C
NPI 1114915287
Physician Assistant - Medical in Buffalo, NY

Q: What is Lynne Fries's NPI number?

The NPI number for Lynne Fries is 1114915287. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Lynne Fries's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lynne Fries was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment

219 BRYANT STREET, BUFFALO, NY 14222(716) 250-6545(716) 250-6566 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lynne Marie Fries Pa-c NPPES

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

LYNNE MARIE FRIES PA-C (NPI 1114915287) is an individual medical provider in Buffalo, New York, licensed in New York (006966-1) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1114915287

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLYNNE MARIE FRIESCredential: PA-C

Location Address219 BRYANT STREETBuffalo, NY 14222-2006

Mailing Address4511 Harlem Road, Suite 202Amherst, NY 14226-3822 · (716) 839-6720 · Fax (716) 839-6740

Phone(716) 250-6545

Fax(716) 250-6566

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateOctober 12, 2005

Last NPPES UpdateOctober 22, 2008

✔ NPI 1114915287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 006966-1

Also ListedPhysician AssistantTaxonomy 363A00000X · License 006966 (NY)

219 BRYANT STREET, Buffalo, NY 14222

Open in Google Maps ↗

Other Identifiers 9

Other000560443006NY · Blue Cross/community Blue

Other00026514404Univera

Medicare PINPA1817

Medicare ID-Type UnspecifiedDD1820NY

Medicaid02759662NY

Other000560443011Bc/bs

Other070924000060Fidelis

Medicare UPINR54766NY

Other9512047Iha

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

Lynne Marie Fries Pa-c 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 ID6204849631

PECOS Enrollment IDI20060801000146

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%21 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

OMAR S ALIBRAHIM MD

Pediatrics (Pediatric Emergency Medicine)