DR. FRED REVOREDO (M.D.) – Family Medicine Physician, NPI 1669588422
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,515 FAMILY PRACTICE in NJ
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Provider Addresses for DR. FRED REVOREDO (M.D.)
425, 15th Avenue, Paterson, Passaic County, New Jersey, 07504, United States
PATERSON, NJ 075041811
Phone: (973) 345-4155
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 279 Open Payments records for all available years, with a total value of $8,649.
Total Amount is formed as General ($8,649) + Research ($0) + Ownership ($0) = $8,649.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,490).
Total Amount
$8,649
General + Research + Ownership
Payments
279
Total payment records
General Amount
$8,649
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,490 |
| Amgen Inc. | $1,414 |
| ABBVIE INC. | $1,330 |
| GlaxoSmithKline, LLC. | $890 |
| Merck Sharp & Dohme LLC | $326 |
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: 2005-05-19
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040227000314 | I | Family Practice | NJ | TBD |
| I20050519000133 | I | Family Practice | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 399 | 92 | $0 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 90 | 84 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 88 | 42 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 88 | 42 | $0 |
| G0008 | Administration of influenza virus vaccine | 68 | 62 | $0 |
Insurance plans in this area (ZIP 07504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Cardiovascular Disease (Cardiology) | PA | |
| P S Y C H I A T R Y | NY | |
| P O D I A T R Y | NY | |
| P S Y C H I A T R Y | OH | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Emergency Medicine | NY | |
| O P T O M E T R Y | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ |
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