TAMARA FREDERICK (PA-C) – Physician Assistant, NPI 1679738025
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Loading map...
Provider Addresses for TAMARA FREDERICK (PA-C)
9348 GRAND CORDERA PKWY STE 160
COLORADO SPRINGS, CO 809247023
Phone: (719) 355-1585
Type: Mailing
West Renwick Road, Plainfield, Will County, Illinois, 60586, United States
UNIT 14
PLAINFIELD, IL 605448731
Phone: (815) 436-9393
Fax: (815) 436-1654
Type: Location
Edward Outpatient Center - Plainfield, 24600, West 127th Street, Plainfield, Will County, Illinois, 60451, United States
STE 335
PLAINFIELD, IL 605859558
Phone: (815) 436-9393
Fax: (815) 436-1654
Type: Mailing
5700 N Elizabeth St
Pueblo, CO 810082166
Phone: (719) 543-1111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: ABBVIE INC. ($226).
Total Amount
$226
General + Research + Ownership
Payments
2
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $226 |
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: 2021-08-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210824003426 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 832 | 171 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 619 | 476 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 302 | 260 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 176 | 160 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 151 | 151 | $0 |
Insurance plans in this area (ZIP 80924)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Plastic And Reconstructive Surgery | CO | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Physician Assistant | NV | |
| Dermatology, Pathology | CO | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | CO |
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.