JARED SCOTT FREDRICKSON (MD) – Ophthalmology Physician, NPI 1902394893
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,665 OPHTHALMOLOGY in CA
Provider Addresses for JARED SCOTT FREDRICKSON (MD)
2524 Westside Rd
Yreka, CA 960979129
Phone: (530) 842-2760
Fax: (530) 842-5839
Type: Location
648 N MAIN ST
ASHLAND, OR 975201710
Phone: (541) 482-8100
Fax: (541) 488-5081
Type: Mailing
State University of New York Upstate Medical University, 750, East Adams Street, University Hill, Syracuse, Onondaga County, New York, 13210, United States
SYRACUSE, NY 132102306
Phone: (970) 818-6078
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $929.
Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($217).
Total Amount
$929
General + Research + Ownership
Payments
31
Total payment records
General Amount
$929
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220608002375 | I | Ophthalmology | CA | TBD |
| I20220608002649 | I | Ophthalmology | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 1,059 | 921 | $0 |
| 92134 | Imaging of retina | 768 | 405 | $0 |
| 92012 | Established patient problem focused exam of visual system | 555 | 389 | $0 |
| 92004 | New patient complete exam of visual system | 428 | 428 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 398 | 47 | $0 |
Insurance plans in this area (ZIP 96097)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | OR | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | OR |
Reviews
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