DR. DOUGLAS R. FREDRICK MD
NPI 1053366633
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Daly City, CA

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
395 HICKEY BLVD, DALY CITY, CA 94015(650) 742-2000 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 2, 2022, Mar 15, 2021, Mar 10, 2021 (3 updates tracked since 2021).

About Dr. Douglas R. Fredrick Md NPPES

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

DR. DOUGLAS R. FREDRICK MD (NPI 1053366633) is an individual pediatric ophthalmology and strabismus specialist in Daly City, California, licensed in California (A43821) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Baylor College Of Medicine (1986).

NPPES Registry Identity

NPI1053366633
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameDR. DOUGLAS R. FREDRICKCredential: MD
Location Address395 HICKEY BLVDDaly City, CA 94015-2770
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1986
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 2, 20223 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
NPI 1053366633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License Licensed in CA · A43821
Definition

An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

395 HICKEY BLVD, Daly City, CA 94015

Other Identifiers 1

Medicaid00A438210CA

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. Douglas R. Fredrick Md 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 ID42227274
PECOS Enrollment IDI20070823000993, I20180829002687
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94015 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 20

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

Obstetrics & Gynecology
395 HICKEY BLVD
DALY CITY, CA 94015
Pediatrics
395 HICKEY BLVD
DALY CITY, CA 94015
Optometrist
395 HICKEY BLVD
DALY CITY, CA 94015
Obstetrics & Gynecology
395 HICKEY BLVD
DALY CITY, CA 94015
Ophthalmology
395 HICKEY BLVD
DALY CITY, CA 94015
Internal Medicine
395 HICKEY BLVD
DALY CITY, CA 94015
Pharmacist
395 HICKEY BLVD
DALY CITY, CA 94015
Internal Medicine
395 HICKEY BLVD
DALY CITY, CA 94015

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 Douglas Fredrick's NPI number?

The NPI number for Douglas Fredrick is 1053366633. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Douglas Fredrick located?

Douglas Fredrick practices at 395 Hickey Blvd, Daly City, CA 94015. The listed phone number is (650) 742-2000.

What is Douglas Fredrick's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Douglas Fredrick enrolled in Medicare?

Yes. Douglas Fredrick 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.

Is Douglas Fredrick affiliated with any hospitals?

According to CMS data, Douglas Fredrick is affiliated with Mount Sinai Hospital and Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Fredrick was last updated on August 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.