DR. DAVID PAUL FREDRICKSON (M.D.) – Family Medicine Physician, NPI 1891765913

DR. DAVID PAUL FREDRICKSON (M.D.) is a healthcare provider. based in Pella, Iowa. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 32734 (IA). The NPI Number for DR. DAVID PAUL FREDRICKSON (M.D.) is 1891765913

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID PAUL FREDRICKSON (M.D.)
NPI
1891765913
Phone
(641) 628-3832
Address
405 MONROE ST
Enumeration Date
23 January 2006
Last Update Date
15 October 2007

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6419842341
Graduation Year
1992 (34 years ago)
PAC ID
3375675903
Group Practice PAC ID
1557600756
Professional Enrollment ID
I20100719000122
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

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Provider Addresses for DR. DAVID PAUL FREDRICKSON (M.D.)

  • Pella Medical Clinic, 405, Monroe Street, Pella, Marion County, Iowa, 50219, United States

    PELLA, IA 502191189

    Phone: (641) 628-3832

    Fax: (641) 628-8894

    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: 2010-07-19

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
I20100719000122IEmergency MedicineIATBD

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
99285Emergency department visit with high level of medical decision making3332$0
99284Emergency department visit with moderate level of medical decision making2320$0
View full utilization report →

Insurance plans in this area (ZIP 50219)

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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: 1557600756View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. DAVID PAUL FREDRICKSON (M.D.) in the U.S.?
In the U.S., DR. DAVID PAUL FREDRICKSON (M.D.) is identified by NPI 1891765913.
Is DR. DAVID PAUL FREDRICKSON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. DAVID PAUL FREDRICKSON (M.D.) as active.
What services align with DR. DAVID PAUL FREDRICKSON (M.D.)'s listing?
DR. DAVID PAUL FREDRICKSON (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. DAVID PAUL FREDRICKSON (M.D.) tied to Pella, Iowa?
If you are local to Pella, Iowa, DR. DAVID PAUL FREDRICKSON (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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