BILLY KEVIN FRALISH MD
NPI 1407149560
Family Medicine in Hopkinsville, KY

Active since May 24, 2011PECOS EnrolledAccepts Medicare Assignment
500 CLINIC DR, HOPKINSVILLE, KY 42240(270) 707-3300 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 4, 2020, Jun 17, 2016 (2 updates tracked since 2016).

About Billy Kevin Fralish Md NPPES

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

BILLY KEVIN FRALISH MD (NPI 1407149560) is an individual family medicine provider in Hopkinsville, Kentucky, licensed in Kentucky (46185) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1407149560
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBILLY KEVIN FRALISHCredential: MD
Location Address500 CLINIC DRHopkinsville, KY 42240-4991
Mailing Address500 Clinic DrHopkinsville, KY 42240-4991 · (270) 707-4262 · Fax (270) 707-4280
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 24, 2011
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
NPI 1407149560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 46185
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
500 CLINIC DR, Hopkinsville, KY 42240

Other Identifiers 1

Medicaid7100216660KY

Accepted 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

Billy Kevin Fralish 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 ID8022266386
PECOS Enrollment IDI20120912000451
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 3

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
116 services67 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
18 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180051
Location320 West 18th StreetHopkinsville, KY 42240 · Christian County
Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42240 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 4

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
7 suppliers35 claims63 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims16 services$0.92 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers14 claims14 services$40.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers11 claims11 services$91.11 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 14

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

Nurse Practitioner (Family)
500 CLINIC DR
HOPKINSVILLE, KY 42240
Clinic/Center (Rural Health)
500 CLINIC DR
HOPKINSVILLE, KY 42240
Clinic/Center (Rural Health)
500 CLINIC DR
HOPKINSVILLE, KY 42240
Nurse Practitioner (Family)
500 CLINIC DR
HOPKINSVILLE, KY 42240
Preventive Medicine (Public Health & General Preventive Medicine)
500 CLINIC DR
HOPKINSVILLE, KY 42240
Speech-Language Pathologist
500 CLINIC DR
HOPKINSVILLE, KY 42240
Family Medicine
500 CLINIC DR
HOPKINSVILLE, KY 42240
Nurse Practitioner
500 CLINIC DR
HOPKINSVILLE, KY 42240

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 Billy Fralish's NPI number?

The NPI number for Billy Fralish is 1407149560. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Where is Billy Fralish located?

Billy Fralish practices at 500 Clinic Dr, Hopkinsville, KY 42240. The listed phone number is (270) 707-3300.

What is Billy Fralish's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Billy Fralish enrolled in Medicare?

Yes. Billy Fralish 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 Billy Fralish accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Billy Fralish 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 Billy Fralish affiliated with any hospitals?

According to CMS data, Billy Fralish is affiliated with Jennie Stuart Medical Center and Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for Billy Fralish was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.