FRED W KNIFFIN (MD) – Emergency Medicine Physician, NPI 1184728461

FRED W KNIFFIN (MD) is a healthcare provider. based in Middlebury, Vermont. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 0420008090 (VT). The NPI Number for FRED W KNIFFIN (MD) is 1184728461

Main info

Male
Name
FRED W KNIFFIN (MD)
NPI
1184728461
Phone
(802) 388-5607
Address
115 PORTER DRIVE
Enumeration Date
8 September 2006
Last Update Date
9 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for FRED W KNIFFIN (MD)

  • Porter Medical Center, 115, Porter Drive, Middlebury, Addison County, Vermont, 05753, United States

    40 SUSAN SPITZNER FINANCE DEPT

    MIDDLEBURY, VT 05753

    Phone: (802) 388-5607

    Fax: (802) 388-5654

    Mailing address matches the actual address.

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: 2011-02-17

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
I20110217000125IInternal MedicineVTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05753)

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Reviews

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Frequently asked questions

Is FRED W KNIFFIN (MD) listed with a National Provider Identifier?
Yes — FRED W KNIFFIN (MD) has NPI 1184728461 on file in the registry.
Active or inactive — what applies to FRED W KNIFFIN (MD)?
You should see FRED W KNIFFIN (MD) as active in CMS-hosted NPPES data.
What kind of doctor is FRED W KNIFFIN (MD)?
FRED W KNIFFIN (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is FRED W KNIFFIN (MD) located near Middlebury?
FRED W KNIFFIN (MD) currently maps to Middlebury, Vermont in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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