HAL M FREDERICK (MD) – Body Imaging Physician, NPI 1720065931

HAL M FREDERICK (MD) is a healthcare provider. based in Riverdale, Georgia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 031741 (GA). The NPI Number for HAL M FREDERICK (MD) is 1720065931

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
HAL M FREDERICK (MD)
NPI
1720065931
Phone
(770) 991-8000
Address
11 UPPER RIVERDALE ROAD
Enumeration Date
29 December 2005
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
5852188005
Graduation Year
1984 (42 years ago)
PAC ID
9032264692
Group Practice PAC ID
3476466376
Professional Enrollment ID
I20090902000711
Address ID
CA910112728LA490XXPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for HAL M FREDERICK (MD)

  • Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States

    RIVERDALE, GA 30274

    Phone: (770) 991-8000

    Type: Location

  • 11 Upper Riverdale Road

    Riverdale, GA 30274

    Phone: (770) 991-8000

    Type: Location

  • PO BOX 100041

    KENNESAW, GA 301569241

    Phone: (770) 779-2178

    Type: Mailing

  • 2428 SANTA MONICA BLVD

    SANTA MONICA, CA 904042045

    Phone: (310) 315-1000

    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: 2009-09-02

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
I20090902000711IDiagnostic RadiologyCATBD

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
76700Complete ultrasound scan of abdomen200198$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers164160$0
71046X-ray of chest, 2 views161161$0
93970Ultrasound study of arm or leg veins with compression and maneuvers158156$0
76770Complete ultrasound scan behind abdominal cavity9898$0
View full utilization report →

Insurance plans in this area (ZIP 30274)

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Provider's Procedures

HAL M FREDERICK (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYGA71010X-ray of chest, 1 view, front1515
DIAGNOSTIC RADIOLOGYGA73110X-ray of wrist, minimum of 3 views2119
DIAGNOSTIC RADIOLOGYGA76830Ultrasound pelvis through vagina3434
DIAGNOSTIC RADIOLOGYGA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3736

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: 3476466376View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
-CA
Diagnostic RadiologyCA
Diagnostic RadiologyTX
Diagnostic RadiologyWA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

What federal number belongs to HAL M FREDERICK (MD)?
The federal identifier for HAL M FREDERICK (MD) is NPI 1720065931.
Is HAL M FREDERICK (MD) active in the national directory?
HAL M FREDERICK (MD)'s public NPI profile is in an active state.
What kind of provider is HAL M FREDERICK (MD)?
The page reflects Body Imaging Physician for HAL M FREDERICK (MD). Clinical services aligned with this taxonomy classification.
Where does public data place HAL M FREDERICK (MD)?
The snapshot lists Riverdale, Georgia for HAL M FREDERICK (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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