DANN J FREDRICKSON (MD) – Internal Medicine Physician, NPI 1215934203

DANN J FREDRICKSON (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 114303 (MO). The NPI Number for DANN J FREDRICKSON (MD) is 1215934203

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DANN J FREDRICKSON (MD)
NPI
1215934203
Phone
(816) 453-0900
Address
5400 N OAK TRFY
Enumeration Date
5 July 2005
Last Update Date
26 September 2011

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8167517832
Graduation Year
1995 (31 years ago)
PAC ID
7214017235
Group Practice PAC ID
0143116368
Professional Enrollment ID
I20100331000059
Address ID
MO641083403KA3011XAVEX300
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

4,186 INTERNAL MEDICINE in MO

Provider Addresses for DANN J FREDRICKSON (MD)

  • 5400 N OAK TRFY

    SUITE 200

    KANSAS CITY, MO 641184688

    Phone: (816) 453-0900

    Fax: (816) 453-6271

    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)

CMS reports 206 Open Payments records for all available years, with a total value of $3,467.

Total Amount is formed as General ($3,467) + Research ($0) + Ownership ($0) = $3,467.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($461).

Total Amount

$3,467

General + Research + Ownership

Payments

206

Total payment records

General Amount

$3,467

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-03-31

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
I20100331000059IInternal MedicineMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes931498$0
93793Anticoagulant management of patient taking warfarin36225$0
99213Established patient office or other outpatient visit, 20-29 minutes355284$0
85610Blood test, clotting time23023$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit192192$0
View full utilization report →

Insurance plans in this area (ZIP 64118)

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Provider's Procedures

DANN J FREDRICKSON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMO85610Blood test, clotting time64383
INTERNAL MEDICINEMO90670Pneumococcal vaccine for injection into muscle3636

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: 0143116368View full group profile
NameSpecialtyState
Family Practice, Internal MedicineKS
Family PracticeKS
Clinical PsychologistMO
Physical Medicine And RehabilitationNE
Internal Medicine, Pediatric MedicineKS
Internal MedicineMO
Family PracticeMO
Clinical PsychologistMO
Emergency Medicine, Family Practice, Sports MedicineMO
Family PracticeMO

Reviews

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Frequently asked questions

Does DANN J FREDRICKSON (MD) have a public NPI I can cite?
Public records show DANN J FREDRICKSON (MD) under NPI 1215934203.
Is DANN J FREDRICKSON (MD)'s NPI status active today?
Active status means DANN J FREDRICKSON (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DANN J FREDRICKSON (MD)?
NPPES ties DANN J FREDRICKSON (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DANN J FREDRICKSON (MD) in Kansas City, Missouri?
For routing, start with Kansas City, Missouri for DANN J FREDRICKSON (MD), then verify phone and hours locally.
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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