ADAM FRATCZAK DO
NPI 1184204380
Emergency Medicine in Dayton, OH

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
94.63/100
CMS Quality Rating
405 W GRAND AVE, DAYTON, OH 45405(937) 723-3245 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2023, Apr 12, 2021 (2 updates tracked since 2021).

About Adam Fratczak Do NPPES

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

ADAM FRATCZAK DO (NPI 1184204380) is an individual emergency medicine provider in Dayton, Ohio, licensed in Ohio (34.016343) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Rio Grande Regional Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1184204380
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameADAM FRATCZAKCredential: DO
Location Address405 W GRAND AVEDayton, OH 45405-7538
Mailing Address3131 Newmark Dr Ste 220Miamisburg, OH 45342-5400 · (937) 438-8910
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
NPI 1184204380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in OH · 34.016343
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.
405 W GRAND AVE, Dayton, OH 45405

Secondary Practice Locations 5

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-8166
Location 26147 State Route 122Middletown, OH 45005-5201 · Phone (513) 261-3410
Location 3600 W Main StTroy, OH 45373-3384 · Phone (937) 980-7010
Location 43535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500
Location 58701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338

Accepted Insurance

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

Adam Fratczak 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 ID5890103279
PECOS Enrollment IDI20241009000031
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 2

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.
58 services58 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450788
Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45405 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.64
Improvement Activities40

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
405 W GRAND AVE
DAYTON, OH 45405
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Emergency Medicine
405 W GRAND AVE
DAYTON, OH 45405
Obstetrics & Gynecology
405 W GRAND AVE
DAYTON, OH 45405
Nurse Anesthetist, Certified Registered
405 W GRAND AVE
DAYTON, OH 45405
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Internal Medicine
405 W GRAND AVE, C/O MEDICAL EDUCATION
DAYTON, OH 45405

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 Adam Fratczak's NPI number?

The NPI number for Adam Fratczak is 1184204380. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Adam Fratczak located?

Adam Fratczak practices at 405 W Grand Ave, Dayton, OH 45405. The listed phone number is (937) 723-3245.

What is Adam Fratczak's specialty?

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

Is Adam Fratczak enrolled in Medicare?

Yes. Adam Fratczak 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.

What insurance does Adam Fratczak accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, Oscar Insurance Company and UnitedHealthcare list Adam Fratczak 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.

Is Adam Fratczak affiliated with any hospitals?

According to CMS data, Adam Fratczak is affiliated with Rio Grande Regional Hospital and Corpus Christi Medical Center,the.

When was this NPI record last updated?

The NPPES record for Adam Fratczak was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.