DR. FREDRICK NEWELL SOUTHERN (M.D.) – Vascular Surgery Physician, NPI 1154381333

DR. FREDRICK NEWELL SOUTHERN (M.D.) is a healthcare provider. based in Virginia beach, Virginia. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. 0101044423 (VA). The NPI Number for DR. FREDRICK NEWELL SOUTHERN (M.D.) is 1154381333

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDRICK NEWELL SOUTHERN (M.D.)
NPI
1154381333
Phone
(757) 437-2882
Address
5589 GREENWICH RD STE 100
Enumeration Date
23 March 2006
Last Update Date
8 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8443338411
Graduation Year
1987 (39 years ago)
PAC ID
3971791260
Group Practice PAC ID
2062826316
Professional Enrollment ID
I20101230001010
Address ID
VA227013980CU499XXCTRX400
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

179 VASCULAR SURGERY in VA

Loading map...

Provider Addresses for DR. FREDRICK NEWELL SOUTHERN (M.D.)

  • Greenwich Road, Greenwich, Virginia Beach, Virginia, 23462, United States

    VIRGINIA BEACH, VA 234626565

    Phone: (757) 437-2882

    Fax: (757) 502-8800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $701.

Total Amount is formed as General ($701) + Research ($0) + Ownership ($0) = $701.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($149).

Total Amount

$701

General + Research + Ownership

Payments

20

Total payment records

General Amount

$701

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

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: 2010-12-30

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
I20101230001010IVascular SurgeryVATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml74421$0
99214Established patient office or other outpatient visit, 30-39 minutes203137$0
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes19057$0
93922Ultrasound study of arm and leg arteries172140$0
93970Ultrasound study of arm or leg veins with compression and maneuvers136133$0
View full utilization report →

Insurance plans in this area (ZIP 23462)

Loading plans...

Provider's Procedures

DR. FREDRICK NEWELL SOUTHERN (M.D.) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYVA36556Insertion of central venous catheter for infusion, patient 5 years or older1212
VASCULAR SURGERYVA93922Ultrasound study of arteries of both arms and legs145124
VASCULAR SURGERYVA93926Ultrasound study of arteries and arterial grafts of one leg or limited5647
VASCULAR SURGERYVA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4542

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: 2062826316View full group profile
NameSpecialtyState
P O D I A T R YPA
General Surgery, Vascular SurgeryTX
Physician AssistantVA
P O D I A T R YMD
P O D I A T R YMD
Interventional Radiology, Diagnostic RadiologyVA
Nurse PractitionerVA
Physician AssistantMD
P O D I A T R YVA
Physician AssistantVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. FREDRICK NEWELL SOUTHERN (M.D.) using NPI 1154381333?
NPI 1154381333 belongs to DR. FREDRICK NEWELL SOUTHERN (M.D.); compare other details if you need extra assurance.
Is DR. FREDRICK NEWELL SOUTHERN (M.D.) still an active registrant?
DR. FREDRICK NEWELL SOUTHERN (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. FREDRICK NEWELL SOUTHERN (M.D.)?
DR. FREDRICK NEWELL SOUTHERN (M.D.) is associated with Vascular Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Virginia is DR. FREDRICK NEWELL SOUTHERN (M.D.) registered?
Use Virginia Beach, Virginia as the headline location for DR. FREDRICK NEWELL SOUTHERN (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

MICHAEL J ZUGAREK (PA)

Physician Assistant
397 LITTLE NECK RD STE 120
NPI: 1013988781

MARC H GLICKMAN (MD)

Vascular Surgery Physician
397, Little Neck Road, Malibu, Virginia Beach, Virginia, 23452, United States
NPI: 1104897560

DR. GREGORY ADAM BARBER (MD)

Vascular Surgery Physician
Greenwich Road, Greenwich, Virginia Beach, Virginia, 23462, United States
NPI: 1013988476

RICHARD JAMES DEMASI (MD)

Vascular Surgery Physician
397, Little Neck Road, Malibu, Virginia Beach, Virginia, 23452, United States
NPI: 1619948072

CARLTON L WELLS (PA)

Vascular Surgery Physician
3300 SOUTH BLDG
NPI: 1548232994

DR. GORDON K STOKES (MD)

Vascular Surgery Physician
397, Little Neck Road, Malibu, Virginia Beach, Virginia, 23452, United States
NPI: 1447222815

RASESH MEHENDRA SHAH (MD)

Vascular Surgery Physician
725 VOLVO PKEY
NPI: 1639140056

ROBERT G GAYLE (MD)

Vascular Surgery Physician
397, Little Neck Road, Malibu, Virginia Beach, Virginia, 23452, United States
NPI: 1750352126