MR. FREDERICK GERALD MINER (PA-C.) – Physician Assistant, NPI 1376655829
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. FREDERICK GERALD MINER (PA-C.)
1035 116th Ave NE
Bellevue, WA 980044604
Phone: (425) 688-5000
Type: Location
1705 W University Dr Ste 104
Tempe, AZ 852813269
Phone: (480) 493-3444
Fax: (480) 867-4464
Type: Location
GAMEDAY MENS HEALTH - SAN MARCOS
1340 WONDER WORLD DR, SUITE 104
SAN MARCOS, TX 78666
Phone: (737) 331-0301
Fax: (737) 932-6224
Type: Location
Overlake Medical Center, 1035, 116th Avenue Northeast, Midlakes, Bellevue, King County, Washington, 98004, United States
BELLEVUE, WA 980044604
Phone: (425) 688-5000
Type: Location
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: 2023-05-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20211025001403 | I | Physician Assistant | TX | TBD |
| I20230519002783 | I | Physician Assistant | IL | TBD |
| I20230522002221 | I | Physician Assistant | CO | TBD |
| I20230524001010 | I | Physician Assistant | FL | TBD |
| I20230525001028 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 28,266 | 278 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 9,200 | 89 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 1,856 | 1,856 | $0 |
| 75574 | Ct scan of blood vessels and grafts of heart with contrast | 167 | 167 | $0 |
| 10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 63 | 61 | $0 |
Insurance plans in this area (ZIP 98004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | CO | |
| Physician Assistant | NV | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | TN | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | CA | |
| - | AZ |
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