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JAMES R FRICTON DDS
NPI 1639103682
Dentist - Orofacial Pain in Plymouth, MN

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
3475 PLYMOUTH BLVD STE 200, PLYMOUTH, MN 55447(763) 577-2484 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2024, Oct 2, 2019 (2 updates tracked since 2019).

About James R Fricton Dds NPPES

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

JAMES R FRICTON DDS (NPI 1639103682) is an individual orofacial pain provider in Plymouth, Minnesota, licensed in Minnesota (D9054) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1639103682
Entity TypeIndividualMale
Primary Taxonomy1223X2210X
Provider Legal NameJAMES R FRICTONCredential: DDS
Location Address3475 PLYMOUTH BLVD STE 200Plymouth, MN 55447-1539
Mailing Address3475 Plymouth Blvd Ste 200Plymouth, MN 55447-1539 · (763) 577-2484 · Fax (763) 577-1375
Phone(763) 577-2484
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1639103682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License✔ Licensed in MN · D9054
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedDentistTaxonomy 122300000X · License D9054 (MN)
3475 PLYMOUTH BLVD STE 200, Plymouth, MN 55447
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1675 E Nicollet Blvd Ste 255Burnsville, MN 55337-6768 · Phone (952) 892-6222 · Fax (952) 892-6477
Location 22550 University Ave W, Suite 189SSaint Paul, MN 55114-1052 · Phone (651) 332-7470 · Fax (651) 332-7490

Other Identifiers 2

Other434102MN · Medica
Other3D757FRMN · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

James R Fricton Dds 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 ID5890766729
PECOS Enrollment IDI20100608000824
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services40 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
44 services16 patients
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes G0397
This service involves a detailed evaluation of your alcohol or substance use behaviors. It helps identify any misuse and provides strategies to manage it. The process, lasting over 30 minutes, uses tools like AUDIT or DAST for a comprehensive assessment.
40 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55447 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%129 patients1/55-star benchmark: 85%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%132 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
46%323 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
43%274 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
30%229 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%323 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%323 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
62%323 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

LORI L SANDBERG PT
Physical Medicine & Rehabilitation (Pain Medicine)
3475 PLYMOUTH BLVD STE 200
PLYMOUTH, MN 55447
Hennepin County (763) 577-2484
MINNESOTA PAIN PREVENTION CLINIC, P.A.
Pain Medicine (Pain Medicine)
3475 PLYMOUTH BLVD STE 200
MINNEAPOLIS, MN 55447
Hennepin County (612) 619-1678
PATHAMAS CHANTARACHERD MITTMAN DDS, MS
Dentist (Orofacial Pain)
3475 PLYMOUTH BLVD STE 200
PLYMOUTH, MN 55447
Hennepin County (763) 577-2484

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 James Fricton's NPI number?

The NPI number for James Fricton is 1639103682. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is James Fricton located?

James Fricton practices at 3475 Plymouth Blvd Ste 200, Plymouth, MN 55447. The listed phone number is (763) 577-2484.

What is James Fricton's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is James Fricton enrolled in Medicare?

Yes. James Fricton 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 James Fricton accept?

Health plans from UnitedHealthcare list James Fricton 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 James Fricton was last updated on July 17, 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.