DR. SCOTT HARTLEY FREDRICKSON (MD) – Emergency Medicine Physician, NPI 1144420357

DR. SCOTT HARTLEY FREDRICKSON (MD) is a healthcare provider. based in Slc, Utah. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 7536320-1205 (UT). The NPI Number for DR. SCOTT HARTLEY FREDRICKSON (MD) is 1144420357

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT HARTLEY FREDRICKSON (MD)
NPI
1144420357
Phone
(801) 463-7415
Address
144 S 500 E
Enumeration Date
25 July 2007
Last Update Date
23 October 2014

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8017867911
Graduation Year
2007 (19 years ago)
PAC ID
8224189808
Group Practice PAC ID
4284548116
Professional Enrollment ID
I20101021000005
Address ID
UT844147092PL2690X600X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

487 EMERGENCY MEDICINE in UT

Provider Addresses for DR. SCOTT HARTLEY FREDRICKSON (MD)

  • 144 S 500 E

    SLC, UT 841021907

    Phone: (801) 463-7415

    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)

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: 2010-10-21

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
I20101021000005IEmergency MedicineUTTBD

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
99285Emergency department visit with high level of medical decision making110108$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9178$0
99284Emergency department visit with moderate level of medical decision making4848$0
99291Critical care, first 30-74 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 84102)

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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: 4284548116View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineUT
Emergency MedicineUT
Emergency MedicineNV
Emergency MedicineCA
Emergency MedicineGA
Emergency MedicineTX
-UT
Emergency MedicineUT
Emergency MedicineUT

Reviews

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Frequently asked questions

Can I cross-check DR. SCOTT HARTLEY FREDRICKSON (MD) using NPI 1144420357?
NPI 1144420357 belongs to DR. SCOTT HARTLEY FREDRICKSON (MD); compare other details if you need extra assurance.
Is DR. SCOTT HARTLEY FREDRICKSON (MD) still an active registrant?
DR. SCOTT HARTLEY FREDRICKSON (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. SCOTT HARTLEY FREDRICKSON (MD)?
At a glance, DR. SCOTT HARTLEY FREDRICKSON (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Utah is DR. SCOTT HARTLEY FREDRICKSON (MD) registered?
Use Slc, Utah as the headline location for DR. SCOTT HARTLEY FREDRICKSON (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.