KEITH J. FREDERICK DO
NPI 1366552762
Orthopaedic Surgery in Rolla, MO

Active since August 30, 2006PECOS Enrolled
77.52/100
CMS Quality Rating
1000 W 10TH ST, ROLLA, MO 65401(573) 364-9000(573) 202-2484 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 27, 2024, Aug 22, 2019, Apr 11, 2018 (3 updates tracked since 2018).

About Keith J. Frederick Do NPPES

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

KEITH J. FREDERICK DO (NPI 1366552762) is an individual orthopaedic surgery provider in Rolla, Missouri, licensed in Missouri (R4D88) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366552762
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEITH J. FREDERICKCredential: DO
Location Address1000 W 10TH STRolla, MO 65401-2905
Mailing Address1050 W 10th StRolla, MO 65401-2905 · (573) 364-9000
Fax(573) 202-2484
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
NPI 1366552762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MO · R4D88
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1000 W 10TH ST, Rolla, MO 65401

Secondary Practice Locations 2

Location 11050 W 10th StRolla, MO 65401-2905 · Phone (573) 364-5633 · Fax (573) 426-5314
Location 21000 W 10th StRolla, MO 65401-2905 · Phone (573) 458-8899 · Fax (573) 341-5611

Other Identifiers 1

Medicaid242256303MO

Accepted 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)

Keith J. Frederick Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

77.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.88
Promoting Interoperability100
Improvement Activities40
Cost60.19

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.

Orthopaedic Surgery
1000 W 10TH ST, STE A
ROLLA, MO 65401
Nurse Practitioner (Adult Health)
1000 W 10TH ST
ROLLA, MO 65401
Pathology (Anatomic Pathology & Clinical Pathology)
1000 W 10TH ST
ROLLA, MO 65401
Registered Nurse (Diabetes Educator)
1000 W 10TH ST
ROLLA, MO 65401
Nurse Anesthetist, Certified Registered
1000 W 10TH ST
ROLLA, MO 65401
Emergency Medicine
1000 W 10TH ST
ROLLA, MO 65401
Dietitian, Registered
1000 W 10TH ST
ROLLA, MO 65401
Nurse Practitioner (Family)
1000 W 10TH ST
ROLLA, MO 65401

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 Keith Frederick's NPI number?

The NPI number for Keith Frederick is 1366552762. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Keith Frederick located?

Keith Frederick practices at 1000 W 10th St, Rolla, MO 65401. The listed phone number is (573) 364-9000.

What is Keith Frederick's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Keith Frederick enrolled in Medicare?

Yes. Keith Frederick is registered in the Medicare PECOS enrollment system.

What insurance does Keith Frederick accept?

Health plans from Medica list Keith 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.

When was this NPI record last updated?

The NPPES record for Keith Frederick was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.