ADAM FRATCZAK DO
NPI 1184204380
Emergency Medicine in Dayton, OH
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
Specialties & Licenses
Secondary Practice Locations 5
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Adam Fratczak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 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.
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.
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, TXCorpus Christi Medical Center,the
Acute Care Hospitals · Corpus Christi, TXPhysician 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.
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.
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.
DAYTON, OH 45405
DAYTON, OH 45405
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.
Which organization bills Medicare for Adam Fratczak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Fratczak reassigns Medicare benefits to Emergency Medicine Services Of Tx, PLLC (San Antonio, TX). The 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 Adam Fratczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Adam Fratczak, DO · NPI 1184204380
Emergency Medicine physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since April 12, 2021.
## Identity
- **NPI:** 1184204380 (Entity type: Individual)
- **Enumerated:** April 12, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 34.016343 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 W GRAND AVE, Dayton, OH 45405-7538
- **Phone:** (937) 723-3245
## 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:** Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio University, College Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** March 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184204380) · Data from the CMS NPPES public registry.