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EDWARD FAIRFAX FROST MD
NPI 1184698227
Internal Medicine in Watertown, WI

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
109 AIR PARK DR, PROHEALTH CARE MEDICAL ASSOCIATES INC., WATERTOWN, WI 53094(262) 928-5100 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward Fairfax Frost Md NPPES

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

EDWARD FAIRFAX FROST MD (NPI 1184698227) is an individual internal medicine provider in Watertown, Wisconsin, licensed in Wisconsin (52228) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1998).

NPPES Registry Identity

NPI1184698227
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDWARD FAIRFAX FROSTCredential: MD
Location Address109 AIR PARK DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.Watertown, WI 53094-7400
Mailing Address109 Air Park Dr, Prohealth Care Medical Associates Inc.Watertown, WI 53094-7400 · (262) 928-5100
Phone(262) 928-5100
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1998
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJuly 11, 2012
✔ NPI 1184698227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 52228
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 52228 (WI)
109 AIR PARK DR, Watertown, WI 53094
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Other Identifiers 4

Medicaid02271603NY
Medicare PIN683750562
Medicare ID-Type UnspecifiedDD1354
Medicare UPINH62614

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Edward Fairfax Frost Md 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 ID3870651870
PECOS Enrollment IDI20081020000630
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 9

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
869 services383 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
185 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
170 services103 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services87 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
86 services86 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53094 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers28 claims62 services$6.18 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MRS. JEWEL E SCHNEIDER APNP
Nurse Practitioner
109 AIR PARK DR
WATERTOWN, WI 53094
Jefferson County (920) 262-7444
PROHEALTH MEDICAL GROUP INC
Internal Medicine
109 AIR PARK DR
WATERTOWN, WI 53094
Jefferson County (262) 928-5100
CHERRI A SCHLEICHER APNP
Nurse Practitioner (Family)
109 AIR PARK DR, CORPORATE HEALTH SERVICES WATERTOWN
WATERTOWN, WI 53094
Jefferson County (262) 928-5100
CATHERINE L ONSRUD FNP
Nurse Practitioner (Family)
109 AIR PARK DR, PROHEALTH CARE MEDICAL CENTERS WATERTOWN
WATERTOWN, WI 53094
Jefferson County (262) 928-5100
DEIRDRE DUFFY M.D.
Obstetrics & Gynecology
109 AIR PARK DR
WATERTOWN, WI 53094
Jefferson County (262) 928-5100

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 Edward Frost's NPI number?

The NPI number for Edward Frost is 1184698227. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Edward Frost located?

Edward Frost practices at 109 Air Park Dr Prohealth Care Medical Associates Inc., Watertown, WI 53094. The listed phone number is (262) 928-5100.

What is Edward Frost's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edward Frost enrolled in Medicare?

Yes. Edward Frost 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 Edward Frost accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Edward Frost 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 Edward Frost affiliated with any hospitals?

According to CMS data, Edward Frost is affiliated with Waukesha Memorial Hospital, Oconomowoc Memorial Hospital and Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edward Frost was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.