FREDERICK ORIGENES (M.D.) – Diagnostic Radiology Physician, NPI 1720062250

FREDERICK ORIGENES (M.D.) is a healthcare provider. based in Bayside, Wisconsin. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 46579 (WI). The NPI Number for FREDERICK ORIGENES (M.D.) is 1720062250

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK ORIGENES (M.D.)
NPI
1720062250
Phone
(414) 434-0461
Address
500 W Brown Deer Rd
Enumeration Date
29 November 2005
Last Update Date
29 June 2018

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2623346165
Graduation Year
1998 (28 years ago)
PAC ID
8022092519
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20040614000946
Address ID
WI530959274WE3212XRDXX400
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

1,101 DIAGNOSTIC RADIOLOGY in WI

Provider Addresses for FREDERICK ORIGENES (M.D.)

  • 500 W Brown Deer Rd

    Suite 202

    Bayside, WI 532171618

    Phone: (414) 434-0461

    Type: Location

  • 7901 S 6th St

    Oak Creek, WI 531542010

    Phone: (414) 346-8000

    Fax: (414) 346-8010

    Type: Location

  • 4805 S Moorland Rd

    New Berlin, WI 531517401

    Phone: (262) 798-7200

    Fax: (262) 798-7271

    Type: Location

  • Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    MILWAUKEE, WI 532263522

    Phone: (414) 805-3750

    Fax: (414) 259-9290

    Type: Mailing

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: 2004-06-14

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
I20040614000946IDiagnostic RadiologyWITBD

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
77067Screening mammography2,2321,379$0
77063Screening 3d breast mammography2,2281,376$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)111110$0
77065Diagnostic mammography of 1 breast7978$0
76642Limited ultrasound scan of 1 breast3636$0
View full utilization report →

Insurance plans in this area (ZIP 53217)

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Provider's Procedures

FREDERICK ORIGENES (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWI74177CT scan of abdomen and pelvis with contrast2929
DIAGNOSTIC RADIOLOGYWI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1918

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: 2668384371View full group profile

Reviews

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Frequently asked questions

What identifier follows FREDERICK ORIGENES (M.D.) across health systems?
The NPI 1720062250 uniquely identifies FREDERICK ORIGENES (M.D.) in U.S. healthcare data.
Is FREDERICK ORIGENES (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists FREDERICK ORIGENES (M.D.) as active.
Which specialty label fits FREDERICK ORIGENES (M.D.)?
NPPES ties FREDERICK ORIGENES (M.D.) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to FREDERICK ORIGENES (M.D.)?
FREDERICK ORIGENES (M.D.) is associated with Bayside, Wisconsin in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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