1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Emergency Medicine
  6. NPI Profile

DR. JON RANDALL FREDERICK M.D.
NPI 1003997800
Emergency Medicine in Richmond, VA

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
8639 MAYLAND DR STE 102, RICHMOND, VA 23294(804) 993-3039(804) 447-1953 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jon Randall Frederick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON RANDALL FREDERICK M.D. (NPI 1003997800) is an individual emergency medicine provider in Richmond, Virginia, licensed in Virginia (0101242098) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2006).

NPPES Registry Identity

NPI1003997800
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JON RANDALL FREDERICKCredential: M.D.
Location Address8639 MAYLAND DR STE 102Richmond, VA 23294-4752
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(804) 993-3039
Fax(804) 447-1953
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2006
Enumeration DateOctober 18, 2006
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1003997800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101242098
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101242098 (VA)
8639 MAYLAND DR STE 102, Richmond, VA 23294
Open in Google Maps ↗

Other Identifiers 1

Other12723963VA · Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jon Randall Frederick M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193944452
PECOS Enrollment IDI20140918000700
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
264 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23294 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KETAMINE RVA
Clinic/Center (Mental Health (Including Community Mental Health Center))
8639 MAYLAND DR STE 102
HENRICO, VA 23294
Henrico County (804) 993-3039
ALCHEMY PLLC
Clinic/Center (Pain)
8639 MAYLAND DR STE 102
HENRICO, VA 23294
Henrico County (804) 993-3039

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Frederick's NPI number?

The NPI number for Jon Frederick is 1003997800. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Jon Frederick located?

Jon Frederick practices at 8639 Mayland Dr Ste 102, Richmond, VA 23294. The listed phone number is (804) 993-3039.

What is Jon Frederick's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jon Frederick enrolled in Medicare?

Yes. Jon Frederick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jon Frederick accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Jon Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jon Frederick was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.