GARY W. FREDERICKSEN (OD) – Optometrist, NPI 1629035225
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,052 OPTOMETRY in VA
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Provider Addresses for GARY W. FREDERICKSEN (OD)
856, J Clyde Morris Boulevard, City Center, Newport News, Newport News City, Virginia, 23601, United States
SUITE A
NEWPORT NEWS, VA 236011318
Phone:
Type: Mailing
Williamsburg Crossing, 120, Kings Way, Williamsburg Crossing Shopping Center, Canterbury Hills, James City County, Virginia, 23185, United States
SUITE 1300
WILLIAMSBURG, VA 231852505
Phone: (757) 345-3001
Fax: (757) 345-3102
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $557.
Total Amount is formed as General ($557) + Research ($0) + Ownership ($0) = $557.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Alcon Vision LLC ($126).
Total Amount
$557
General + Research + Ownership
Payments
25
Total payment records
General Amount
$557
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-06-22
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 |
|---|---|---|---|---|
| I20060622000116 | I | Optometry | VA | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 990 | 983 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 159 | 129 | $0 |
| 92133 | Imaging of optic nerve | 118 | 118 | $0 |
| 92134 | Imaging of retina | 58 | 57 | $0 |
| 92083 | Exam of visual field with extended testing | 56 | 55 | $0 |
Insurance plans in this area (ZIP 23601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| H O S P I T A L I S T | WV | |
| - | PA | |
| G A S T R O E N T E R O L O G Y | VA | |
| General Surgery | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA |
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