ETHAN FRY DO
NPI 1245769124
Internal Medicine - Clinical Cardiac Electrophysiology in Temple, TX
About Ethan Fry Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN FRY DO (NPI 1245769124) is an individual clinical cardiac electrophysiology provider in Temple, Texas, licensed in Indiana (02008513A) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2017).
NPPES Registry Identity
Specialties & Licenses
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
Ethan Fry 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 Ethan Fry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Morganfield, KY 42437
- Reassigned Medicare billing, Kentucky and Indiana enrollments
- Medicare enrollment name: Deaconess Specialty Physicians, Inc
- Also billed through NPI 1124522750 (Indiana)
- 75 clinicians in this Medicare group
Evansville, IN 47712
- Reassigned Medicare billing, Indiana enrollment
- 717 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ferrell Hospital Community Foundations
Critical Access Hospitals · Eldorado, ILDeaconess Hospital Inc
Acute Care Hospitals · Evansville, INMemorial Hospital And Health Care Center
Acute Care Hospitals · Jasper, INGibson General Hospital
Critical Access Hospitals · Princeton, INDeaconess Henderson Hospital
Acute Care Hospitals · Henderson, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76508 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 20
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 Ethan Fry's NPI number?
The NPI number for Ethan Fry is 1245769124. It was assigned to this individual provider in the NPPES registry on June 5, 2017.
Where is Ethan Fry located?
Ethan Fry practices at 2401 S 31st St, Temple, TX 76508. The listed phone number is (254) 724-2111.
What is Ethan Fry's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.
Is Ethan Fry enrolled in Medicare?
Yes. Ethan Fry 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 Ethan Fry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Fry reassigns Medicare benefits to 2 organizations: Deaconess Speciality Physicians, Inc (Morganfield, KY) and Deaconess Hospital Inc (Evansville, 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 Ethan Fry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Fry accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Ethan Fry 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 Ethan Fry affiliated with any hospitals?
According to CMS data, Ethan Fry is affiliated with Ferrell Hospital Community Foundations, Deaconess Hospital Inc, Memorial Hospital And Health Care Center, Gibson General Hospital and Deaconess Henderson Hospital.
When was this NPI record last updated?
The NPPES record for Ethan Fry was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ethan Fry, DO · NPI 1245769124
Clinical Cardiac Electrophysiology physician in Temple, Texas. Individual provider, active in the CMS NPPES registry since June 5, 2017.
## Identity
- **NPI:** 1245769124 (Entity type: Individual)
- **Enumerated:** June 5, 2017
- **Primary specialty:** Internal Medicine - Clinical Cardiac Electrophysiology · taxonomy 207RC0001X
- **State license:** 02008513A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 S 31ST ST, Temple, TX 76508-0001
- **Phone:** (254) 724-2111
## 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): Deaconess Speciality Physicians, Inc (NPI 1497632558, Morganfield, KY); Deaconess Hospital Inc (NPI 1942183769, Evansville, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City University Of Med & Biosciences, College Of Osteo Med, class of 2017
## Record status
- **NPPES last updated:** October 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245769124) · Data from the CMS NPPES public registry.