DR. KIRT FREDERICKSON (M.D.) – Diagnostic Radiology Physician, NPI 1144218819

DR. KIRT FREDERICKSON (M.D.) is a healthcare provider. based in Danbury, Connecticut. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 040390 (CT). The NPI Number for DR. KIRT FREDERICKSON (M.D.) is 1144218819

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIRT FREDERICKSON (M.D.)
NPI
1144218819
Phone
(203) 739-7532
Address
60 NEWTOWN RD
Enumeration Date
7 October 2005
Last Update Date
11 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037480834
Graduation Year
1996 (30 years ago)
PAC ID
6608818166
Group Practice PAC ID
8820403637
Professional Enrollment ID
I20050525000016
Address ID
CT068503815NO34XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

805 DIAGNOSTIC RADIOLOGY in CT

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Provider Addresses for DR. KIRT FREDERICKSON (M.D.)

  • 60, Newtown Road, Beaverbrook, Danbury, Fairfield County, Connecticut, 06810, United States

    UNIT 45

    DANBURY, CT 068106257

    Phone: (203) 739-7532

    Fax: (203) 796-7667

    Type: Mailing

  • Danbury Hospital, 24, Hospital Avenue, Germantown, Danbury, Fairfield County, Connecticut, 06810, United States

    DANBURY, CT 068106099

    Phone: (203) 739-7532

    Fax: (203) 796-7667

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-05-25

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
I20050525000016IDiagnostic RadiologyCTTBD

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
71045X-ray of chest, 1 view371353$0
74177Ct scan of abdomen and pelvis with contrast189183$0
763773d radiographic procedure with computerized image postprocessing170159$0
71250Ct scan of chest without contrast170159$0
70450Ct scan head or brain without contrast157153$0
View full utilization report →

Insurance plans in this area (ZIP 06810)

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Provider's Procedures

DR. KIRT FREDERICKSON (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCT71010X-ray of chest, 1 view, front355332
DIAGNOSTIC RADIOLOGYCT73110X-ray of wrist, minimum of 3 views1616
DIAGNOSTIC RADIOLOGYCT73630X-ray of foot, minimum of 3 views3127

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: 8820403637View full group profile
NameSpecialtyState
Physician AssistantCT
Diagnostic RadiologyCT
Diagnostic RadiologyNY
Diagnostic RadiologyCT
Diagnostic RadiologyCT
Diagnostic RadiologyAZ
Diagnostic RadiologyNJ
Diagnostic RadiologyCT
Diagnostic RadiologyCT
Diagnostic RadiologyCT

Reviews

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Frequently asked questions

What identifier follows DR. KIRT FREDERICKSON (M.D.) across health systems?
The NPI 1144218819 uniquely identifies DR. KIRT FREDERICKSON (M.D.) in U.S. healthcare data.
Does the public listing show DR. KIRT FREDERICKSON (M.D.) as active?
DR. KIRT FREDERICKSON (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KIRT FREDERICKSON (M.D.) provide?
DR. KIRT FREDERICKSON (M.D.)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KIRT FREDERICKSON (M.D.)?
The directory associates DR. KIRT FREDERICKSON (M.D.) with Danbury, Connecticut. Check all listed addresses for suites or satellite offices.
Who maintains DR. KIRT FREDERICKSON (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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