JOHN A. FROEHLICH M.D.
NPI 1811939705
Orthopaedic Surgery in East Providence, RI

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914(401) 457-1525(401) 861-5812 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John A. Froehlich M.d. NPPES

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

JOHN A. FROEHLICH M.D. (NPI 1811939705) is an individual orthopaedic surgery provider in East Providence, Rhode Island, licensed in Rhode Island (7619) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1811939705
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN A. FROEHLICHCredential: M.D.
Location Address1 KETTLE POINT AVEEast Providence, RI 02914-5375
Mailing AddressPo Box 1119Providence, RI 02901-1119 · (401) 457-1525
Fax(401) 861-5812
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 21, 2019
NPI 1811939705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in RI · 7619
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1 KETTLE POINT AVE, East Providence, RI 02914

Other Identifiers 2

Medicaid9000468RI
Other007006571RI · Ngs

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

John A. Froehlich M.d. 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 ID3274668843
PECOS Enrollment IDI20100322000265
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 14

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
339 services288 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
259 services184 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
102 services87 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
69 services16 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
49 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality57.33
Promoting Interoperability97
Improvement Activities40
Cost77.23

Reported Quality Measures

Advance Care Plan
83%1,007 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
55%164 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%1,818 patients5/55-star benchmark: 100%
e-Prescribing
100%124 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
18%988 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%1,348 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 879 patients
Patients screened: 99% · 879 patients
18%40 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 61% · 357 patients
59%357 patients
Provide Patients Electronic Access to Their Health Information
66%472 patients3/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
3%555 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,023 patients
Patients totalRate: 1% · 1,023 patients
1%1,023 patients4/55-star benchmark: 100%
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 20

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

Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Family)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Family)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physician Assistant
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Occupational Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914

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 John Froehlich's NPI number?

The NPI number for John Froehlich is 1811939705. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is John Froehlich located?

John Froehlich practices at 1 Kettle Point Ave, East Providence, RI 02914. The listed phone number is (401) 457-1525.

What is John Froehlich's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Froehlich enrolled in Medicare?

Yes. John Froehlich 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.

When was this NPI record last updated?

The NPPES record for John Froehlich was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.