CAMERON FREDERICK (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1144740150

CAMERON FREDERICK (MD) is a healthcare provider. based in The villages, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME141736 (FL). The NPI Number for CAMERON FREDERICK (MD) is 1144740150

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON FREDERICK (MD)
NPI
1144740150
Phone
(352) 259-2159
Address
1580 SANTA BARBARA BLVD
Enumeration Date
21 June 2017
Deactivation Date
8 August 2025
Reactivation Date
21 August 2025
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164445433
Graduation Year
2017 (9 years ago)
PAC ID
5294161816
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20251006000983
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:8State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for CAMERON FREDERICK (MD)

  • 1580 SANTA BARBARA BLVD

    THE VILLAGES, FL 321596827

    Phone: (352) 259-2159

    Type: Location

  • 6801 BRECKSVILLE RD

    INDEPENDENCE, OH 441315032

    Phone: (216) 444-3765

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2023-04-05 • Largest payer in this snapshot: Neurelis, Inc. ($21).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Neurelis, Inc.$21
Eisai Inc.$20
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: 2025-10-06

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
I20251006000983IFamily PracticeOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32159)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do payers reference CAMERON FREDERICK (MD)?
For CAMERON FREDERICK (MD), use NPI 1144740150 as the unique 10-digit identifier.
Active or inactive — what applies to CAMERON FREDERICK (MD)?
You should see CAMERON FREDERICK (MD) as active in CMS-hosted NPPES data.
How would a patient describe CAMERON FREDERICK (MD)'s focus?
For CAMERON FREDERICK (MD), the primary taxonomy reads as Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is CAMERON FREDERICK (MD) located near The Villages?
CAMERON FREDERICK (MD) currently maps to The Villages, Florida in this extract.
Can I trust this NPI listing for CAMERON FREDERICK (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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