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DR. MEGAN FRETHAM DO
NPI 1679927768
Pediatrics in Orange City, IA

Active since April 15, 2016PECOS Enrolled
83.57/100
CMS Quality Rating
1000 LINCOLN CIRCLE, ORANGE CITY, IA 51041(712) 737-4984 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2020, May 3, 2019 (2 updates tracked since 2019).

About Dr. Megan Fretham Do NPPES

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

DR. MEGAN FRETHAM DO (NPI 1679927768) is an individual pediatrics provider in Orange City, Iowa, licensed in Iowa (DO-05394) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679927768
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MEGAN FRETHAMCredential: DO
Location Address1000 LINCOLN CIRCLEOrange City, IA 51041-1836
Mailing Address1000 Lincoln CircleOrange City, IA 51041 · (712) 737-4984
Phone(712) 737-4984
Sole ProprietorNo
Enumeration DateApril 15, 2016
Last NPPES UpdateDecember 1, 20202 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1679927768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IA · DO-05394
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.
1000 LINCOLN CIRCLE, Orange City, IA 51041
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Megan Fretham Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Megan Fretham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orange City Municipal Hospital
Same address
Specialist
1000 LINCOLN CIRCLE SE, SUITE 200
Orange City, IA 51041
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1003886367 (Iowa)
  • 45 clinicians in this Medicare group
NPI 1265479323 (712) 737-5317

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51041 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $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.

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.

83.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.07
Promoting Interoperability98
Improvement Activities40
Cost50.83

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 Megan Fretham's NPI number?

The NPI number for Megan Fretham is 1679927768. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Megan Fretham located?

Megan Fretham practices at 1000 Lincoln Circle, Orange City, IA 51041. The listed phone number is (712) 737-4984.

What is Megan Fretham's specialty?

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

Is Megan Fretham enrolled in Medicare?

Yes. Megan Fretham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Megan Fretham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Fretham reassigns Medicare benefits to Orange City Municipal Hospital (Orange City, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Fretham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Fretham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Megan Fretham 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 Megan Fretham was last updated on December 1, 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.