DR. GARY A. FREDERICK M.D.
NPI 1194723213
Family Medicine in Shattuck, OK

Q: What is Gary Frederick's NPI number?

The NPI number for Gary Frederick is 1194723213. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Gary Frederick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Frederick was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment

905 S MAIN ST, SHATTUCK, OK 73858(580) 938-2551(580) 938-2118 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gary A. Frederick M.d. NPPES

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

DR. GARY A. FREDERICK M.D. (NPI 1194723213) is an individual family medicine provider in Shattuck, Oklahoma, licensed in Oklahoma (15799) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Hemphill County Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1980).

NPPES Registry Identity

NPI1194723213

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GARY A. FREDERICKCredential: M.D.

Location Address905 S MAIN STShattuck, OK 73858-9205

Mailing Address905 S Main StShattuck, OK 73858-9205 · (580) 938-2551 · Fax (580) 938-2118

Phone(580) 938-2551

Fax(580) 938-2118

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1980

Enumeration DateJuly 12, 2005

Last NPPES UpdateOctober 21, 2009

✔ NPI 1194723213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 15799

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

905 S MAIN ST, Shattuck, OK 73858

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Other Identifiers 2

Medicare UPIND32809OK

Medicaid100652050BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Gary A. 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 ID4880614692

PECOS Enrollment IDI20170905000373

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

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

Hemphill County Hospital

Critical Access Hospitals · Canadian, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number671301

Location1020 S 4th StCanadian, TX 79014 · Hemphill County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73858 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 17

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

MERINDY GRACE MORGENSON MD

Family Medicine