DR. FRED J KUDRIK MD
NPI 1104807668
Internal Medicine - Hematology & Oncology in Columbia, SC

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
166 STONERIDGE DR, COLUMBIA, SC 29210(803) 461-3000(803) 461-4910 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Fred J Kudrik Md NPPES

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

DR. FRED J KUDRIK MD (NPI 1104807668) is an individual hematology & oncology provider in Columbia, South Carolina, licensed in South Carolina (22933) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1997).

NPPES Registry Identity

NPI1104807668
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. FRED J KUDRIKCredential: MD
Location Address166 STONERIDGE DRColumbia, SC 29210-8239
Mailing AddressPo Box 2046West Columbia, SC 29171-2046 · (803) 461-3000 · Fax (803) 461-4910
Fax(803) 461-4910
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1997
Enumeration DateNovember 10, 2005
Last NPPES UpdateNovember 12, 2009
NPI 1104807668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in SC · 22933
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

166 STONERIDGE DR, Columbia, SC 29210

Other Identifiers 3

Other6275SC · Mcare Group#
Medicaid229336SC
Medicare UPINH11523

Accepted 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. Fred J Kudrik 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 ID6002867637
PECOS Enrollment IDI20050201000629
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 81

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
87,750 services64 patients
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
23,975 services13 patients
Injection, daratumumab, 10 mg and hyaluronidase-fihj J9144
Daratumumab and hyaluronidase-fihj is an injection administered to treat certain types of blood cancer. The medication works by targeting and killing specific cancer cells. It's often given under the skin to reduce side effects and improve patient comfort.
20,520 services12 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
17,600 services20 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
14,555 services129 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
12,720 services48 patients

Hospital Affiliations CMS Care Compare 5

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29210 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims896 services$0.75 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
4 suppliers83 claims202 services$36.20 avg. paid by Medicare
Breast prosthesis, mastectomy form L8020
DME-Orthotic Devices · category DF000N
2 suppliers11 claims12 services$188.98 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
2 suppliers19 claims22 services$273.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacy (Community/Retail Pharmacy)
166 STONERIDGE DR
COLUMBIA, SC 29210
Internal Medicine (Hematology & Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Pharmacist (Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Physician Assistant (Medical)
166 STONERIDGE DR
COLUMBIA, SC 29210
Nurse Practitioner (Family)
166 STONERIDGE DR
COLUMBIA, SC 29210
Internal Medicine (Hematology & Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Radiology (Radiation Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Internal Medicine (Hematology & Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210

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 Fred Kudrik's NPI number?

The NPI number for Fred Kudrik is 1104807668. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Fred Kudrik located?

Fred Kudrik practices at 166 Stoneridge Dr, Columbia, SC 29210. The listed phone number is (803) 461-3000.

What is Fred Kudrik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Fred Kudrik enrolled in Medicare?

Yes. Fred Kudrik 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 Fred Kudrik accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Fred Kudrik 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.

Is Fred Kudrik affiliated with any hospitals?

According to CMS data, Fred Kudrik is affiliated with Prisma Health Richland Hospital, Prisma Health Tuomey Hospital, Lexington Medical Center, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Fred Kudrik was last updated on November 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.