JEFFREY ALAN FREDERICK (PA-C) – Medical Physician Assistant, NPI 1093743957
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for JEFFREY ALAN FREDERICK (PA-C)
4200, West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73120, United States
606
OKLAHOMA CITY, OK 731209350
Phone: (405) 755-1930
Fax: (405) 755-2795
Type: Mailing
3650, West Rock Creek Road, Norman, Cleveland County, Oklahoma, 73072, United States
110A
NORMAN, OK 730722202
Phone: (405) 364-2666
Fax: (405) 364-9627
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $831.
Total Amount is formed as General ($831) + Research ($0) + Ownership ($0) = $831.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GENZYME CORPORATION ($343).
Total Amount
$831
General + Research + Ownership
Payments
31
Total payment records
General Amount
$831
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $343 |
| Regeneron Healthcare Solutions, Inc. | $244 |
| GlaxoSmithKline, LLC. | $149 |
| AERIN MEDICAL INC. | $26 |
| Cochlear Americas | $24 |
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: 2008-04-10
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 |
|---|---|---|---|---|
| I20080410000270 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 379 | 261 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 362 | 205 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 161 | 161 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 159 | 126 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 89 | 89 | $0 |
Insurance plans in this area (ZIP 73120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK |
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