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JEFFREY RANDALL FRERKING
NPI 1649915273
Pediatrics in Bolivar, MO

Active since April 28, 2022PECOS Enrolled
1195 N OAKLAND AVE, BOLIVAR, MO 65613(417) 777-2121(918) 619-4334 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2026, Apr 28, 2022 (2 updates tracked since 2022).

About Jeffrey Randall Frerking NPPES

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

JEFFREY RANDALL FRERKING (NPI 1649915273) is an individual pediatrics provider in Bolivar, Missouri, licensed in Missouri (2025023940) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1649915273
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJEFFREY RANDALL FRERKING
Location Address1195 N OAKLAND AVEBolivar, MO 65613-8095
Mailing Address1195 N Oakland AveBolivar, MO 65613-8095 · (417) 777-2121 · Fax (918) 619-4334
Phone(417) 777-2121
Fax(918) 619-4334
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 28, 2022
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1649915273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2025023940
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1195 N OAKLAND AVE, Bolivar, MO 65613
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Randall Frerking is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375044332
PECOS Enrollment IDI20250829004241
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65613 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 8

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

JAMES G LIESEN DO
Pediatrics
1195 N OAKLAND AVE, SUITE 2
BOLIVAR, MO 65613
Polk County (417) 777-2121
DR. ASHLEY MICHELE LANE D.O.
Obstetrics & Gynecology
1195 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 777-8131
NICOLE MARIE TWENTER LPC
Counselor (Professional)
1195 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (660) 621-4451
DR. ANGELA D COLLINS MD
Pediatrics
1195 N OAKLAND AVE, SUITE 2
BOLIVAR, MO 65613
Polk County (417) 777-2121
ANNA ALESHIRE PA-C
Physician Assistant
1195 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 777-8131
BRIANA GOMEZ MD
Obstetrics & Gynecology
1195 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 777-8131
DR. SHANNON LEIGH CALVERT MD
Pediatrics
1195 N OAKLAND AVE, SUITE 2
BOLIVAR, MO 65613
Polk County (417) 777-2121
CITIZENS MEMORIAL HEALTHCARE
Clinic/Center (Rural Health)
1195 N OAKLAND AVE, SUITE 2
BOLIVAR, MO 65613
Polk County (417) 777-2121

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 Jeffrey Frerking's NPI number?

The NPI number for Jeffrey Frerking is 1649915273. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Jeffrey Frerking located?

Jeffrey Frerking practices at 1195 N Oakland Ave, Bolivar, MO 65613. The listed phone number is (417) 777-2121.

What is Jeffrey Frerking's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jeffrey Frerking enrolled in Medicare?

Yes. Jeffrey Frerking is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Frerking was last updated on January 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.