JOHN P. FREY MD
NPI 1851312540
Pediatrics in Monroe, WI

Active since July 21, 2006PECOS Enrolled
515 22ND AVE, MONROE, WI 53566(608) 324-2000 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John P. Frey Md NPPES

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

JOHN P. FREY MD (NPI 1851312540) is an individual pediatrics provider in Monroe, Wisconsin, licensed in Wisconsin (31048) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851312540
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN P. FREYCredential: MD
Location Address515 22ND AVEMonroe, WI 53566-1569
Mailing Address515 22nd AveMonroe, WI 53566-1569 · (608) 324-2000
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
✔ NPI 1851312540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 31048
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.
515 22ND AVE, Monroe, WI 53566

Other Identifiers 12

Other1000256Physicians Plus
Other390004890Medicare Railroad
Other390808509Wps
Other10864Dean Health Plan
Other31596200Hirsp
Other390808509Cigna
Other90002361Wea Ins
Other39080850928Unity
Medicaid31596200WI
Other370004383Medicare Railroad
Other390808509A2Unity
Other390808509Ct General

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John P. Frey Md 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 John Frey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
515 22ND AVE
Monroe, WI 53566
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group

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 53566 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Pharmacist (Pharmacotherapy)
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner (Family)
515 22ND AVE
MONROE, WI 53566
Emergency Medicine
515 22ND AVE
MONROE, WI 53566
Pharmacist
515 22ND AVE
MONROE, WI 53566
Family Medicine
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner
515 22ND AVE
MONROE, WI 53566
Internal Medicine (Cardiovascular Disease)
515 22ND AVE
MONROE, WI 53566
Physician Assistant
515 22ND AVE, MONROE CLINIC
MONROE, WI 53566

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 Frey's NPI number?

The NPI number for John Frey is 1851312540. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is John Frey located?

John Frey practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-2000.

What is John Frey's specialty?

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

Is John Frey enrolled in Medicare?

Yes. John Frey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Frey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Frey reassigns Medicare benefits to The Monroe Clinic, Inc. (Monroe, WI). 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 John Frey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Frey accept?

Health plans from Dean Health Plan and Quartz list John Frey 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 John Frey was last updated on December 18, 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.