DR. FRED L. JR. PICKLESIMER (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1699774992

DR. FRED L. JR. PICKLESIMER (M.D.) is a healthcare provider. based in Lexington, Kentucky. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 37331 (KY). The NPI Number for DR. FRED L. JR. PICKLESIMER (M.D.) is 1699774992

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. FRED L. JR. PICKLESIMER (M.D.)
NPI
1699774992
Phone
(859) 278-9513
Address
290 BIG RUN RD
Enumeration Date
19 July 2005
Last Update Date
17 October 2023

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3363872500
Graduation Year
1991 (35 years ago)
PAC ID
7911086210
Group Practice PAC ID
1153315643
Professional Enrollment ID
I20230712004108
Address ID
NC274087043GR706XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

230 PATHOLOGY in KY

Provider Addresses for DR. FRED L. JR. PICKLESIMER (M.D.)

  • 290 BIG RUN RD

    LEXINGTON, KY 405032903

    Phone: (859) 278-9513

    Fax: (859) 277-6063

    Type: Mailing

  • 1355 RIVER BEND DR

    DALLAS, TX 752474915

    Phone: (214) 237-1818

    Fax: (844) 751-9263

    Type: Mailing

  • 706 GREEN VALLEY RD STE 104

    GREENSBORO, NC 274087043

    Phone: (336) 387-2500

    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: 2024-12-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230712004108IPathologyNCTBD
I20241212002341IPathologyALTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity694407$0
88342Special stained specimen slides to examine tissue, initial procedure9666$0
88307Pathology examination of tissue using a microscope, moderately high complexity9255$0
88112Cell examination of specimen, selective cellular enhancement technique8077$0
88360Microscopic genetic analysis of tumor, manual4614$0
View full utilization report →

Insurance plans in this area (ZIP 40503)

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Provider's Procedures

DR. FRED L. JR. PICKLESIMER (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYKY88304Pathology examination of tissue using a microscope, moderately low complexity149143
PATHOLOGYKY88307Pathology examination of tissue using a microscope, moderately high complexity5750
PATHOLOGYKY88312Special stained specimen slides to identify organisms including interpretation and report7739
PATHOLOGYKY88342Tissue or cell analysis by immunologic technique155145

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: 1153315643View full group profile
NameSpecialtyState
P A T H O L O G YMA
P A T H O L O G YTN
P A T H O L O G YNC
P A T H O L O G YOH
P A T H O L O G YSC
-NC
P A T H O L O G YNC
P A T H O L O G YNC
P A T H O L O G YNC
P A T H O L O G YNC

Reviews

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Frequently asked questions

Is DR. FRED L. JR. PICKLESIMER (M.D.) listed with a National Provider Identifier?
Yes — DR. FRED L. JR. PICKLESIMER (M.D.) has NPI 1699774992 on file in the registry.
Is DR. FRED L. JR. PICKLESIMER (M.D.) still an active registrant?
DR. FRED L. JR. PICKLESIMER (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. FRED L. JR. PICKLESIMER (M.D.)?
DR. FRED L. JR. PICKLESIMER (M.D.) is associated with Anatomic Pathology & Clinical Pathology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. FRED L. JR. PICKLESIMER (M.D.)?
Directory geography for DR. FRED L. JR. PICKLESIMER (M.D.) centers on Lexington, Kentucky.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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