CARRIE E. FREDERICK MD
NPI 1205018876
Obstetrics & Gynecology in Portland, OR

Q: What is Carrie Frederick's NPI number?

The NPI number for Carrie Frederick is 1205018876. It was assigned to this individual provider in the NPPES registry on December 5, 2007. The provider is also known as Carrie F. Miles MD.

Q: What is Carrie Frederick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carrie Frederick was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 December 05, 2007PECOS EnrolledAccepts Medicare Assignment

1130 NW 22ND AVE STE 520, PORTLAND, OR 97210(503) 274-4800(503) 274-4917 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carrie E. Frederick Md NPPES

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

CARRIE E. FREDERICK MD (NPI 1205018876) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD157036) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Stanford University School Of Medicine (2011).

NPPES Registry Identity

NPI1205018876

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameCARRIE E. FREDERICKCredential: MD

Location Address1130 NW 22ND AVE STE 520Portland, OR 97210-2976

Mailing Address7650 Sw Beveland Rd Ste 200Portland, OR 97223-8692 · (503) 601-3615 · Fax (503) 646-1683

Phone(503) 274-4800

Fax(503) 274-4917

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 2011

Enumeration DateDecember 5, 2007

Last NPPES UpdateJanuary 29, 2026

NPPES CertifiedJanuary 29, 2026

✔ NPI 1205018876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OR · MD157036

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.

1130 NW 22ND AVE STE 520, Portland, OR 97210

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Other Names 1

Former Name (1)Carrie F. Miles Md

Other Identifiers 1

Medicaid500645123OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.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

Carrie E. Frederick 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 ID5799809208

PECOS Enrollment IDI20121116000283

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.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380017

Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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.

Other Providers at the Same Location NPPES 6

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

DR. JONATHAN CHRISTIAN COOK MD

Obstetrics & Gynecology