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

DUANE FREDERICKS M.D.
NPI 1184618886
Family Medicine - Obesity Medicine in New York, NY

Active since September 08, 2005PECOS Enrolled
530 1ST AVE, SK 10S, NEW YORK, NY 10016(212) 263-3166 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Oct 18, 2020 (2 updates tracked since 2020).

About Duane Fredericks M.d. NPPES

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

DUANE FREDERICKS M.D. (NPI 1184618886) is an individual obesity medicine provider in New York, New York, licensed in New Jersey (25MA08928300) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184618886
Entity TypeIndividualMale
Primary Taxonomy207QB0002X
Provider Legal NameDUANE FREDERICKSCredential: M.D.
Location Address530 1ST AVE, SK 10SNew York, NY 10016-6402
Mailing Address530 1st Ave, Sk 10sNew York, NY 10016-6402 · (212) 263-3166
Phone(212) 263-3166
Sole ProprietorNo
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 18, 2020
✔ NPI 1184618886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QB0002X
License✔ Licensed in NJ · 25MA08928300
Definition
A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 25MA08928300 (NJ)
Also ListedSurgeryTaxonomy 208600000X · License P40643 (NY)
530 1ST AVE, New York, NY 10016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Duane Fredericks M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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. SEAN MICHAEL BAILEY M.D.
Pediatrics
530 1ST AVE, SUITE 7A
NEW YORK, NY 10016
New York County (212) 263-7477
MR. ROBERT PHILIP CHARLES HOLD JR. PA-C
Physician Assistant (Medical)
530 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3166
ELIZABETH MARIE KACZKA NP
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
New York County (630) 842-4805
HILDA NKANSAH FNP-BC
Nurse Practitioner (Family)
530 1ST AVE, SUITE 10Q
NEW YORK, NY 10016
New York County (212) 263-7021
MAUREEN LYNN NP
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
New York County (212) 263-6384
NEW YORK UNIVERSITY
Plastic Surgery
530 1ST AVE, SUITE 8Y
NEW YORK, NY 10016
New York County (212) 263-8452
NATALIE JILL KLAR M.D.
Internal Medicine (Medical Oncology)
530 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-4689
DR. MICHAEL D ZERVOS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
New York County (212) 263-7102

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 Duane Fredericks's NPI number?

The NPI number for Duane Fredericks is 1184618886. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Duane Fredericks located?

Duane Fredericks practices at 530 1st Ave Sk 10S, New York, NY 10016. The listed phone number is (212) 263-3166.

What is Duane Fredericks's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Is Duane Fredericks enrolled in Medicare?

Yes. Duane Fredericks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Duane Fredericks was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.