DR. RICHARD M FRUEHLING M.D.
NPI 1851347611
Family Medicine in Grand Island, NE

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
95.61/100
CMS Quality Rating
3563 PRAIRIEVIEW ST STE 300, GRAND ISLAND, NE 68803(308) 381-0162(308) 389-4445 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard M Fruehling M.d. NPPES

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

DR. RICHARD M FRUEHLING M.D. (NPI 1851347611) is an individual family medicine provider in Grand Island, Nebraska, licensed in Nebraska (12335) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health Good Samaritan, and is a graduate of University Of Nebraska College Of Medicine (1971).

NPPES Registry Identity

NPI1851347611
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RICHARD M FRUEHLINGCredential: M.D.
Location Address3563 PRAIRIEVIEW ST STE 300Grand Island, NE 68803-4442
Mailing AddressPo Box 9802Grand Island, NE 68802-9802 · (308) 381-0162 · Fax (308) 389-4445
Fax(308) 389-4445
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1971
Enumeration DateMay 25, 2006
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
NPI 1851347611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 12335
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3563 PRAIRIEVIEW ST STE 300, Grand Island, NE 68803

Accepted 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

Dr. Richard M Fruehling 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 ID7012006414
PECOS Enrollment IDI20100125000028
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 44

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
865 services368 patients
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.
727 services366 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
661 services363 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
634 services362 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
527 services333 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
359 services278 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280009
LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County
Emergency services Birthing friendly

Chi Health St. Francis

Acute Care Hospitals · Grand Island, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280023
Location2620 West Faidley AveGrand Island, NE 68803 · Hall County
Emergency services Birthing friendly

Mary Lanning Healthcare

Acute Care Hospitals · Hastings, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280032
Location715 N St Joseph AveHastings, NE 68901 · Adams County
Emergency services Birthing friendly

Grand Island Regional Medical Center

Acute Care Hospitals · Grand Island, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280139
Location3533 Prairieview StreetGrand Island, NE 68803 · Hall County
Emergency services Birthing friendly

Howard County Medical Center

Critical Access Hospitals · St Paul, NE
OwnershipVoluntary non-profit - Other
CMS Certification Number281338
LocationP O Box 406, 1113 Sherman StSt Paul, NE 68873 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68803 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

95.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.13
Promoting Interoperability96.82
Improvement Activities40

Reported Quality Measures

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…
28%538 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers82 claims153 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims15 services$1.06 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers39 claims39 services$35.72 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers49 claims49 services$85.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers51 claims152 services$31.16 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers26 claims156 services$18.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Registered Nurse
3563 PRAIRIEVIEW ST STE 300
GRAND ISLAND, NE 68803
Family Medicine
3563 PRAIRIEVIEW ST STE 300
GRAND ISLAND, NE 68803
Family Medicine
3563 PRAIRIEVIEW ST STE 300
GRAND ISLAND, NE 68803
Family Medicine
3563 PRAIRIEVIEW ST STE 300
GRAND ISLAND, NE 68803
Nurse Practitioner (Family)
3563 PRAIRIEVIEW ST STE 300
GRAND ISLAND, NE 68803
Physician Assistant
3563 PRAIRIEVIEW ST STE 300
GRAND ISLAND, NE 68803
Physician Assistant (Medical)
3563 PRAIRIEVIEW ST STE 300
GRAND ISLAND, NE 68803
Family Medicine
3563 PRAIRIEVIEW ST STE 300
GRAND ISLAND, NE 68803

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 Richard Fruehling's NPI number?

The NPI number for Richard Fruehling is 1851347611. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Richard Fruehling located?

Richard Fruehling practices at 3563 Prairieview St Ste 300, Grand Island, NE 68803. The listed phone number is (308) 381-0162.

What is Richard Fruehling's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Fruehling enrolled in Medicare?

Yes. Richard Fruehling 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 Richard Fruehling accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Richard Fruehling 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.

Is Richard Fruehling affiliated with any hospitals?

According to CMS data, Richard Fruehling is affiliated with Chi Health Good Samaritan, Chi Health St. Francis, Mary Lanning Healthcare, Grand Island Regional Medical Center and Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Fruehling was last updated on November 30, 2023. 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.