DAVID JONATHAN FREDERIKS (MD) – Hospitalist Physician, NPI 1225048168
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
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Provider Addresses for DAVID JONATHAN FREDERIKS (MD)
Lawrence+Memorial Hospital, 365, Montauk Avenue, Montauk Avenue Historic District, New London, New London County, Connecticut, 06320, United States
ROOM 4.512
NEW LONDON, CT 063204700
Phone: (860) 442-0711
Fax: (860) 444-5144
Mailing address matches the actual address.
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: 2004-04-30
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 |
|---|---|---|---|---|
| I20040430000779 | I | Family Practice | CT | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 363 | 334 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 263 | 246 | $0 |
| 99291 | Critical care, first 30-74 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 06320)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | AL | |
| - | TN | |
| Internal Medicine | AL | |
| Internal Medicine | IL | |
| Internal Medicine, Infectious Disease | CT | |
| Nurse Practitioner | AL | |
| - | CT | |
| - | AL | |
| Internal Medicine | RI | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CT |
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