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DR. GARY STEWART FRIES D.D.S.
NPI 1396894515
Dentist - Oral and Maxillofacial Surgery in Victoria, TX

Active since January 09, 2007Opted out of Medicare · through Jul 1, 2027
111 PROFESSIONAL PARK DR, VICTORIA, TX 77904(361) 578-0247(361) 578-0240 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gary Stewart Fries D.d.s. NPPES

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

DR. GARY STEWART FRIES D.D.S. (NPI 1396894515) is an individual oral and maxillofacial surgery provider in Victoria, Texas, licensed in Texas (17713) and active in the NPI registry since January 2007. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396894515
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GARY STEWART FRIESCredential: D.D.S.
Location Address111 PROFESSIONAL PARK DRVictoria, TX 77904-2351
Mailing Address111 Professional Park DrVictoria, TX 77904-2351 · (361) 578-0247 · Fax (361) 578-0240
Phone(361) 578-0247
Fax(361) 578-0240
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396894515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 17713
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
111 PROFESSIONAL PARK DR, Victoria, TX 77904
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Other Identifiers 2

Medicaid007936001TX
Medicare UPINU81685TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gary Stewart Fries D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77904 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

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

VICTORIA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC,
Dentist (Oral and Maxillofacial Surgery)
111 PROFESSIONAL PARK DR
VICTORIA, TX 77904
Victoria County (361) 578-0247

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 Gary Fries's NPI number?

The NPI number for Gary Fries is 1396894515. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Gary Fries located?

Gary Fries practices at 111 Professional Park Dr, Victoria, TX 77904. The listed phone number is (361) 578-0247.

What is Gary Fries's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Gary Fries enrolled in Medicare?

No. Gary Fries has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gary Fries accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Gary Fries 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.

When was this NPI record last updated?

The NPPES record for Gary Fries was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.