DR. LEE AUSTIN JR. FREDRICKSON (M.D.) – Internal Medicine Physician, NPI 1427476753
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
7,201 INTERNAL MEDICINE in OH
Provider Addresses for DR. LEE AUSTIN JR. FREDRICKSON (M.D.)
2525 SOUTHEAST BLVD
SALEM, OH 444603464
Phone: (330) 332-7807
Fax: (330) 332-7809
Type: Mailing
2020 E STATE ST STE C
SALEM, OH 444602479
Phone: (330) 332-7807
Fax: (330) 332-7809
Type: Location
2094 E STATE ST STE D
SALEM, OH 444604409
Phone: (330) 332-7220
Fax: (234) 542-6148
Type: Mailing
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: 2017-06-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170626000239 | I | Internal Medicine | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 786 | 224 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 297 | 158 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 129 | 129 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 129 | 129 | $0 |
| 99497 | Advance care planning, first 30 minutes | 112 | 111 | $0 |
Insurance plans in this area (ZIP 44460)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Family Practice | PA | |
| Hospitalist, Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| N E U R O L O G Y | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| G A S T R O E N T E R O L O G Y | OH |
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