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ETHAN JOHN FRASER
NPI 1265019871
Internal Medicine in Bethesda, MD

Active since March 28, 2021PECOS Enrolled
10 CENTER DR, BETHESDA, MD 20892(301) 496-4000 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ethan John Fraser NPPES

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

ETHAN JOHN FRASER (NPI 1265019871) is an individual internal medicine provider in Bethesda, Maryland, licensed in District Of Columbia (MD500002927) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2021).

NPPES Registry Identity

NPI1265019871
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameETHAN JOHN FRASER
Location Address10 CENTER DRBethesda, MD 20892
Mailing Address2000 Connecticut Ave Nw 711Washington, DC 20008
Phone(301) 496-4000
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2021
Enumeration DateMarch 28, 2021
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1265019871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DC · MD500002927
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.
10 CENTER DR, Bethesda, MD 20892
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan John Fraser is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507333580
PECOS Enrollment IDI20260428000261
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 Billing Reassignment

Medicare enrollment records show Ethan Fraser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medstar Medical Group II LLC
6.5 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20892 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

DR. TARA PALMORE M.D.
Internal Medicine (Infectious Disease)
10 CENTER DR, MSC 1888
BETHESDA, MD 20892
Montgomery County (301) 496-4000
DR. NICOLE JEANINE GORMLEY M.D.
Internal Medicine (Critical Care Medicine)
10 CENTER DR, BLDG 10, RM 2C145
BETHESDA, MD 20892
Montgomery County (301) 496-9320
IAN SCHONMAN MD
Student in an Organized Health Care Education/Training Program
10 CENTER DR
BETHESDA, MD 20892
Montgomery County (301) 496-4000
DR. CHRISTOPHER AUSTIN KLEBANOFF M.D.
Internal Medicine (Medical Oncology)
10 CENTER DR, BUILDING 10, CRC-3W-5816
BETHESDA, MD 20892
Montgomery County (301) 496-5659
DR. PAUL MELTZER MD
Pediatrics (Pediatric Hematology-Oncology)
10 CENTER DR
BETHESDA, MD 20892
Montgomery County (301) 318-2421
ERIC LEVENS M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
10 CENTER DR, BLDG 10, CRC, RM 1E-3140
BETHESDA, MD 20892
Montgomery County (301) 496-5800
METIN KURTOGLU M.D., PH.D.
Student in an Organized Health Care Education/Training Program
10 CENTER DR, BLDG 10 ROOM 12N226
BETHESDA, MD 20892
Montgomery County (301) 496-4916
ADAM FIJTMAN
Psychiatry & Neurology (Psychiatry)
10 CENTER DR
BETHESDA, MD 20892
Montgomery County (301) 496-4000

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 Fraser's NPI number?

The NPI number for Ethan Fraser is 1265019871. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Ethan Fraser located?

Ethan Fraser practices at 10 Center Dr, Bethesda, MD 20892. The listed phone number is (301) 496-4000.

What is Ethan Fraser's specialty?

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

Is Ethan Fraser enrolled in Medicare?

Yes. Ethan Fraser is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethan Fraser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Fraser reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). 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 Ethan Fraser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Fraser was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.