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Chantal Angelique Fry, PA

NPI 1477280006ActiveIndividual· Physician Assistant, Medical· San Jose, CA

Physician Assistant, Medical (PA) with Sutter Bay Medical Foundation and 1 other group, practicing in San Jose, California. 25 Medicare patients in 2024, $1,602 paid; nearly all of their 81 Part D prescriptions were generic (93%).

Overview

NPI1477280006
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedAug 3, 2022
Last updated in NPPESAug 3, 2022
Certified by providerJul 18, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700XPA61339CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients25
Services billed26 across 14 procedure codes
Paid by Medicare$1,602

Part D prescriptions in 2024

Prescriptions (claims)81 · 84 30-day fills
Patients66
Total drug cost$588.90
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant, Medical providers in San Jose

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