DR. FREDERICK A LODGE (M.D.) – Anesthesiology Physician, NPI 1790770428

DR. FREDERICK A LODGE (M.D.) is a healthcare provider. based in Ukiah, California. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. G57207 (CA). The NPI Number for DR. FREDERICK A LODGE (M.D.) is 1790770428

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK A LODGE (M.D.)
NPI
1790770428
Phone
(707) 468-5015
Address
580 N SPRING ST
Enumeration Date
19 September 2005
Last Update Date
30 July 2010

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
7074623111
Graduation Year
1983 (43 years ago)
PAC ID
0345264859
Group Practice PAC ID
0840626040
Professional Enrollment ID
I20060124000384
Address ID
CA954824531UK275XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

Loading map...

Provider Addresses for DR. FREDERICK A LODGE (M.D.)

  • 580, North Spring Street, Westside, Ukiah, Mendocino County, California, 95482, United States

    UKIAH, CA 954824251

    Phone: (707) 468-5015

    Fax: (707) 468-5015

    Type: Location

  • PO BOX 492680

    REDDING, CA 960492680

    Phone: (530) 243-0440

    Fax: (530) 243-0445

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$31
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060124000384IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope7069$0
00812Anesthesia for exam of colon using an endoscope6969$0
00142Anesthesia for lens surgery3332$0
00811Anesthesia for other procedure on large bowel using an endoscope3333$0
00813Anesthesia for procedure on small and large bowel using an endoscope2323$0
View full utilization report →

Insurance plans in this area (ZIP 95482)

Loading plans...

Provider's Procedures

DR. FREDERICK A LODGE (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYCA00142Anesthesia for lens surgery7573
ANESTHESIOLOGYCA00790Anesthesia for procedure in upper abdomen including use of an endoscope1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840626040View full group profile
NameSpecialtyState
-CA
Certified Registered Nurse Anesthetist (Crna)NV
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify DR. FREDERICK A LODGE (M.D.) for billing?
Administrative and clinical systems typically use NPI 1790770428 for DR. FREDERICK A LODGE (M.D.).
Quick check: is DR. FREDERICK A LODGE (M.D.) active?
Public NPPES data shows DR. FREDERICK A LODGE (M.D.) with an active NPI status right now.
What does the directory say DR. FREDERICK A LODGE (M.D.) does?
Insurance directories may phrase it differently, but here DR. FREDERICK A LODGE (M.D.) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. FREDERICK A LODGE (M.D.) in Ukiah, California?
For routing, start with Ukiah, California for DR. FREDERICK A LODGE (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

Unknown Individual

Anesthesiology Physician
PO BOX 365
NPI: 1053391235

EARL CHRISTOPHER OUTLUND (MD)

Anesthesiology Physician
1241 EL DORADO RD
NPI: 1154373645

RONALD E GUTH (M.D.)

Anesthesiology Physician
585, West College Avenue, Santa Rosa, Sonoma County, California, 95401, United States
NPI: 1720016439

MR. MATTHEW P HARPER (M.D.)

Anesthesiology Physician
Adventist Health Ukiah Valley, 275, Hospital Drive, Wagenseller, Ukiah, Mendocino County, California, 95482, United States
NPI: 1427165877

Unknown Individual

Anesthesiology Physician
PO BOX 365
NPI: 1184741647

RONALD E. GUTH M. D. INC.

Anesthesiology Physician
1285 VISTA VERDE RD
NPI: 1942577523

UKIAH VALLEY ANESTHESIA SERVICES

Anesthesiology Physician
509 KENNWOOD DR
NPI: 1780938480
4012 POLLED HEREFORD DR
NPI: 1376071282
Box, Poststraße, Troisdorf-Mitte, Troisdorf, Rhein-Sieg-Kreis, North Rhine-Westphalia, 53840, Germany
NPI: 1003458704