JOHN RANDALL FREDERICK (M.D.) – Surgery Physician, NPI 1669453213

JOHN RANDALL FREDERICK (M.D.) is a healthcare provider. based in Meadowbrook, Pennsylvania. specializing in Surgery Physician. They hold the professional credentials M.D.. They hold a License No. M.D.032063E (PA). The NPI Number for JOHN RANDALL FREDERICK (M.D.) is 1669453213

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JOHN RANDALL FREDERICK (M.D.)
NPI
1669453213
Phone
(215) 938-3145
Address
1650 HUNTINGDON PIKE
Enumeration Date
10 November 2005
Last Update Date
5 January 2016

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2158561114
Graduation Year
1983 (43 years ago)
PAC ID
8820153711
Group Practice PAC ID
0042109902
Professional Enrollment ID
I20090209000660
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

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Provider Addresses for JOHN RANDALL FREDERICK (M.D.)

  • 1650, Huntingdon Pike, Meadowbrook, Abington Township, Montgomery County, Pennsylvania, 19046, United States

    SUITE 154

    MEADOWBROOK, PA 190468004

    Phone: (215) 938-3145

    Fax: (215) 938-3144

    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 4 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Vertical Pharmaceuticals, LLC ($28).

Total Amount

$66

General + Research + Ownership

Payments

4

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

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: 2009-02-09

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
I20090209000660IGeneral SurgeryPATBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes4933$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3324$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 19046)

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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: 0042109902View full group profile
NameSpecialtyState
Internal Medicine, Hematology/Oncology, Hospitalist, HospitalistVT
-PA
General SurgeryPA
-PA
-PA
Orthopedic Surgery, Hand Surgery, Physical Medicine And RehabilitationPA
-PA
Internal MedicinePA
-PA
General SurgeryPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN RANDALL FREDERICK (M.D.)?
JOHN RANDALL FREDERICK (M.D.) — NPI 1669453213 — is the standard way to identify this listing.
Is JOHN RANDALL FREDERICK (M.D.) listed as active for patients and plans?
The listing shows JOHN RANDALL FREDERICK (M.D.) as active in the NPI system.
What taxonomy line describes JOHN RANDALL FREDERICK (M.D.)?
For research purposes, treat JOHN RANDALL FREDERICK (M.D.) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN RANDALL FREDERICK (M.D.) on a map?
Expect Meadowbrook, Pennsylvania as a primary anchor for JOHN RANDALL FREDERICK (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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