Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CALEB JAMES FREDRICKSON MD
NPI 1114545217
Emergency Medicine in Greenville, SC

Q: What is Caleb Fredrickson's NPI number?

The NPI number for Caleb Fredrickson is 1114545217. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Q: What is Caleb Fredrickson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caleb Fredrickson was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since July 06, 2020PECOS Enrolled

701 GROVE RD FL 1, GREENVILLE, SC 29605(864) 455-7899(864) 455-5474 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Jul 2, 2024, Jul 6, 2020 (3 updates tracked since 2020).

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About Dr. Caleb James Fredrickson Md NPPES

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

DR. CALEB JAMES FREDRICKSON MD (NPI 1114545217) is an individual emergency medicine provider in Greenville, South Carolina, licensed in South Carolina (96769) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2020).

NPPES Registry Identity

NPI1114545217

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. CALEB JAMES FREDRICKSONCredential: MD

Location Address701 GROVE RD FL 1Greenville, SC 29605-4210

Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8603

Phone(864) 455-7899

Fax(864) 455-5474

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2020

Enumeration DateJuly 6, 2020

Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1114545217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in SC · 96769✔ Licensed in MO · 2023004726

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 ListedEmergency Medicine · Medical ToxicologyTaxonomy 207PT0002X · License 96769 (SC)

701 GROVE RD FL 1, Greenville, SC 29605

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Other Identifiers 1

Medicaid200085152MO

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. Caleb James Fredrickson 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 ID3072937424

PECOS Enrollment IDI20240708001771

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

38 services38 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

32 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260032

LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County

Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260180

Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

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.

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.

DR. AMBER GIST LANEY MD

Emergency Medicine