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DR. JAMES BRIAN FREDERICK M.D.
NPI 1184656381
Obstetrics & Gynecology in Ashland, KY

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
617 23RD ST STE 415, ASHLAND, KY 41101(606) 325-6888(606) 326-9368 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2022, Nov 19, 2021 (2 updates tracked since 2021).

About Dr. James Brian Frederick M.d. NPPES

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

DR. JAMES BRIAN FREDERICK M.D. (NPI 1184656381) is an individual obstetrics & gynecology provider in Ashland, Kentucky, licensed in Kentucky (39332) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of University Of Kentucky College Of Medicine (2001).

NPPES Registry Identity

NPI1184656381
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES BRIAN FREDERICKCredential: M.D.
Location Address617 23RD ST STE 415Ashland, KY 41101-2845
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6212
Phone(606) 325-6888
Fax(606) 326-9368
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2001
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 20, 20222 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1184656381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 39332
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
617 23RD ST STE 415, Ashland, KY 41101
Open in Google Maps ↗

Other Identifiers 1

Medicaid64103179KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Brian 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 ID5395774236
PECOS Enrollment IDI20050810000951
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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Frederick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

King's Daughters Medical Specialties, Inc.
Same address
Obstetrics & Gynecology
617 23RD ST STE 415
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Kings Daughters Medical Specialties Inc
  • 531 clinicians in this Medicare group
NPI 1174287270 (606) 325-6888
Obhg Kentucky, P.S.C.
0.1 mi
Obstetrics & Gynecology
2201 LEXINGTON AVE
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Obhg Kentucky Psc
  • 123 clinicians in this Medicare group
NPI 1457644122 (864) 908-3530

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Other Providers at the Same Location NPPES 7

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

KING'S DAUGHTERS MEDICAL SPECIALTIES, INC.
Obstetrics & Gynecology
617 23RD ST STE 415
ASHLAND, KY 41101
Boyd County (606) 325-6888
TONY W DOTSON, DO, PLLC
Specialist
617 23RD ST STE 415
ASHLAND, KY 41101
Boyd County (606) 325-6888
NATALIE JANE MARTIN APRN, CNM
Advanced Practice Midwife
617 23RD ST STE 415
ASHLAND, KY 41101
Boyd County (606) 325-6888
J BRIAN FREDERICK, M.D., PLLC
Specialist
617 23RD ST STE 415
ASHLAND, KY 41101
Boyd County (606) 325-6888
MRS. LIBBIA A MADDOX P.A.
Physician Assistant
617 23RD ST STE 415
ASHLAND, KY 41101
Boyd County (606) 325-6888
ASHLEY MORGAN WRIGHT DO
Obstetrics & Gynecology
617 23RD ST STE 415
ASHLAND, KY 41101
Boyd County (606) 325-6888
CARISA GEYER APRN FNP-C
Nurse Practitioner (Family)
617 23RD ST STE 415
ASHLAND, KY 41101
Boyd County (606) 325-6888

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 James Frederick's NPI number?

The NPI number for James Frederick is 1184656381. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is James Frederick located?

James Frederick practices at 617 23rd St Ste 415, Ashland, KY 41101. The listed phone number is (606) 325-6888.

What is James Frederick's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Frederick enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Frederick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Frederick reassigns Medicare benefits to 2 organizations: King's Daughters Medical Specialties, Inc. (Ashland, KY) and Obhg Kentucky, P.S.C. (Ashland, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Frederick accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list James 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.

Is James Frederick affiliated with any hospitals?

According to CMS data, James Frederick is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for James Frederick was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.