JEUNESSE FREDRICKSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1396035937
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
824 OBSTETRICS/GYNECOLOGY in CO
Provider Addresses for JEUNESSE FREDRICKSON (M.D.)
30 N 1900 E
RM 2B200
SALT LAKE CITY, UT 841320002
Phone:
Type: Mailing
1 MERCADO ST.
STE. 105
DURANGO, CO 813017311
Phone: (970) 382-8800
Fax: (970) 382-0122
Type: Location
1 MERCADO ST STE 105
DURANGO, CO 813017311
Phone: (970) 382-8800
Fax: (970) 382-0122
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $11,520.
Total Amount is formed as General ($11,520) + Research ($0) + Ownership ($0) = $11,520.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($11,343).
Total Amount
$11,520
General + Research + Ownership
Payments
28
Total payment records
General Amount
$11,520
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $11,343 |
| Astellas Pharma US Inc | $81 |
| ABBVIE INC. | $34 |
| Organon LLC | $26 |
| Myriad Women's Health, Inc. | $21 |
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: 2015-09-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150921001800 | I | Obstetrics/Gynecology | CO | 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 | 26 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | NM | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| - | CO | |
| - | NH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| Nurse Practitioner | CO |
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