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DR. MARK A FREDRICKSON MD
NPI 1356426712
Family Medicine in Grand Rapids, MI

Active since October 26, 2006PECOS Enrolled
3299 CLEAR VISTA CT NE, SUITE C, GRAND RAPIDS, MI 49525(616) 361-1200(616) 361-2198 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2024, Mar 1, 2023 (2 updates tracked since 2023).

About Dr. Mark A Fredrickson Md NPPES

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

DR. MARK A FREDRICKSON MD (NPI 1356426712) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (MF048876) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356426712
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK A FREDRICKSONCredential: MD
Location Address3299 CLEAR VISTA CT NE, SUITE CGrand Rapids, MI 49525
Mailing Address5514 Preserve CtBelmont, MI 49306-8510
Phone(616) 361-1200
Fax(616) 361-2198
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1356426712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · MF048876
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.
3299 CLEAR VISTA CT NE, Grand Rapids, MI 49525
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Other Identifiers 2

Medicaid2836516MI
Other080D148480Bcbs Mich

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark A Fredrickson Md 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.

Areas of Expertise CMS Part B claims 3

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
43 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services24 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%5,824 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
19%129 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%205 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
41%1,206 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%1,206 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
61%1,206 patients5/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$213.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. VERONICA RAMIREZ HAMILTON DDS, MS
Dentist (Pediatric Dentistry)
3299 CLEAR VISTA CT NE, SUITE B
GRAND RAPIDS, MI 49525
Kent County (616) 608-6826
HAMILTON PEDIATRIC DENTISTRY PC
Clinic/Center (Dental)
3299 CLEAR VISTA CT NE, SUITE B
GRAND RAPIDS, MI 49525
Kent County (919) 308-6292
COLETTE R. SMILEY D.D.S.
Dentist (General Practice)
3299 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Kent County (616) 361-0654
DR. STEPHANIE MAE BENTON-LANGEJANS DDS
Dentist
3299 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Kent County (616) 361-0654
LISA VANRYN PA-C
Physician Assistant
3299 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Kent County (616) 361-1200
RIVERWOOD FAMILY MEDICINE PC
Family Medicine
3299 CLEAR VISTA CT NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 361-1200

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 Mark Fredrickson's NPI number?

The NPI number for Mark Fredrickson is 1356426712. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Mark Fredrickson located?

Mark Fredrickson practices at 3299 Clear Vista Ct NE Suite C, Grand Rapids, MI 49525. The listed phone number is (616) 361-1200.

What is Mark Fredrickson's specialty?

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

Is Mark Fredrickson enrolled in Medicare?

Yes. Mark Fredrickson is registered in the Medicare PECOS enrollment system.

What insurance does Mark Fredrickson accept?

Health plans from McLaren Health Plan Community list Mark Fredrickson 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.

When was this NPI record last updated?

The NPPES record for Mark Fredrickson was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.