JACK B FRALINGER M.D.
NPI 1285740118
Surgery in Gallup, NM

Q: What is Jack Fralinger's NPI number?

The NPI number for Jack Fralinger is 1285740118. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Jack Fralinger's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Fralinger was last updated on April 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment

73.12/100

CMS Quality Rating

516 E. NIZHONI BLVD., GALLUP, NM 87301(505) 722-1000(505) 722-1226 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jack B Fralinger M.d. NPPES

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

JACK B FRALINGER M.D. (NPI 1285740118) is an individual surgery provider in Gallup, New Mexico, licensed in Washington (MD00038967) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of University Of Minnesota Medical School (1996).

NPPES Registry Identity

NPI1285740118

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJACK B FRALINGERCredential: M.D.

Location Address516 E. NIZHONI BLVD.Gallup, NM 87301-1337

Mailing AddressP.o. Box 1337Gallup, NM 87301-1337 · (505) 722-1000 · Fax (505) 722-1226

Phone(505) 722-1000

Fax(505) 722-1226

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1996

Enumeration DateAugust 22, 2006

Last NPPES UpdateApril 3, 2012

✔ NPI 1285740118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WA · MD00038967

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

516 E. NIZHONI BLVD., Gallup, NM 87301

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Other Identifiers 1

Medicaid08202524NM

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

Jack B Fralinger M.d. 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 ID8921003054

PECOS Enrollment IDI20060925000308

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

68 services39 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.

62 services25 patients

Hospital Affiliations CMS Care Compare

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM

2/5 CMS rating

OwnershipGovernment - Federal

CMS Certification Number320061

Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

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.

73.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.63

Improvement Activities

Cost

49.43

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$26.16 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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