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FREDRICK C WITTLEDER PA
NPI 1205195088
Physician Assistant - Surgical in Oak Park Heights, MN

Active since May 14, 2012PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082(651) 439-8807(651) 439-0232 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Jan 22, 2019 (2 updates tracked since 2019).

About Fredrick C Wittleder Pa NPPES

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

FREDRICK C WITTLEDER PA (NPI 1205195088) is an individual surgical provider in Oak Park Heights, Minnesota and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital-jordan Valley, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205195088
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameFREDRICK C WITTLEDERCredential: PA
Location Address5803 NEAL AVE NOak Park Heights, MN 55082-2177
Mailing Address4465 S 900 E, Ste 275Millcreek, UT 84124-2644 · (651) 439-8807 · Fax (651) 439-0232
Phone(651) 439-8807
Fax(651) 439-0232
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 14, 2012
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1205195088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10749979-1206 (UT)
5803 NEAL AVE N, Oak Park Heights, MN 55082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Fredrick C Wittleder Pa 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 ID9436315678
PECOS Enrollment IDI20190531001545
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services16 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

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. TROY ALLEN VARGAS DPM
Podiatrist (Foot & Ankle Surgery)
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
MRS. JENNIFER ANN STANEK MS, PAC
Physician Assistant (Surgical)
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
TRACY E BUNNELL PA-C
Physician Assistant
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
AMY HUTTER
Specialist/Technologist (Athletic Trainer)
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC.
Home Health
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 430-3320
DR. ANDREA MARIE SATERBAK MD
Orthopaedic Surgery (Sports Medicine)
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
SHANNON LEA RECHTIENE OTR/L, CHT
Occupational Therapist
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
DR. RYAN RICHARD KARLSTAD MD
Orthopaedic Surgery (Hand Surgery)
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807

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 Fredrick Wittleder's NPI number?

The NPI number for Fredrick Wittleder is 1205195088. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Fredrick Wittleder located?

Fredrick Wittleder practices at 5803 Neal Ave N, Oak Park Heights, MN 55082. The listed phone number is (651) 439-8807.

What is Fredrick Wittleder's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Fredrick Wittleder enrolled in Medicare?

Yes. Fredrick Wittleder 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.

What insurance does Fredrick Wittleder accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Fredrick Wittleder 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 Fredrick Wittleder affiliated with any hospitals?

According to CMS data, Fredrick Wittleder is affiliated with Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Fredrick Wittleder was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.