DAVID FREDERICK (D.O.) – Internal Medicine Physician, NPI 1104189026

DAVID FREDERICK (D.O.) is a healthcare provider. based in Austin, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101019942 (MI). The NPI Number for DAVID FREDERICK (D.O.) is 1104189026

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DAVID FREDERICK (D.O.)
NPI
1104189026
Phone
(512) 482-0045
Address
7000 N MO PAC EXPY STE 420
Enumeration Date
18 June 2012
Last Update Date
29 January 2018

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5124767111
Graduation Year
2012 (14 years ago)
PAC ID
2860623303
Group Practice PAC ID
6507133584
Professional Enrollment ID
I20170724003338
Address ID
TX787052703AU919XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:13State licenses:3Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DAVID FREDERICK (D.O.)

  • 7000 N MO PAC EXPY STE 420

    AUSTIN, TX 787313055

    Phone: (512) 482-0045

    Fax: (512) 476-9892

    Type: Mailing

  • 919 E 32ND ST

    AUSTIN, TX 787052703

    Phone: (512) 447-2211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-15

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: 2017-07-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150819007073IInternal MedicineGATBD
I20170724003338IInternal MedicineTXTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes176165$0
99291Critical care, first 30-74 minutes7166$0
99292Critical care, each additional 30 minutes1712$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 78731)

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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: 6507133584View full group profile

Reviews

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Frequently asked questions

Can I verify DAVID FREDERICK (D.O.) with an NPI only?
You can start verification with NPI 1104189026 for DAVID FREDERICK (D.O.), then check state licensing separately.
Does the file indicate DAVID FREDERICK (D.O.) is practicing under active NPI?
Directory data currently reports DAVID FREDERICK (D.O.) as active.
What taxonomy line describes DAVID FREDERICK (D.O.)?
For research purposes, treat DAVID FREDERICK (D.O.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DAVID FREDERICK (D.O.) on a map?
Expect Austin, Texas as a primary anchor for DAVID FREDERICK (D.O.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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