DR. SCOTT NATHANIEL FREDERICK DDS
NPI 1467640904
Dentist in Colorado Springs, CO

Active since October 10, 2007PECOS Enrolled
3236 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907(719) 355-2700 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Scott Nathaniel Frederick Dds NPPES

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

DR. SCOTT NATHANIEL FREDERICK DDS (NPI 1467640904) is an individual dentist in Colorado Springs, Colorado, licensed in Colorado (10115) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467640904
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SCOTT NATHANIEL FREDERICKCredential: DDS
Location Address3236 CENTENNIAL BLVDColorado Springs, CO 80907-4077
Mailing Address9296 Stoneglen DrColorado Springs, CO 80920-3026 · (719) 646-6006
Sole ProprietorNo
Enumeration DateOctober 10, 2007
Last NPPES UpdateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
NPI 1467640904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CO · 10115
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3236 CENTENNIAL BLVD, Colorado Springs, CO 80907

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)

Dr. Scott Nathaniel Frederick Dds 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 80907 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 7

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

Dentist
3236 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Dentist (General Practice)
3236 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Dentist (General Practice)
3236 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Dentist (Orthodontics and Dentofacial Orthopedics)
3236 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Dentist (Orthodontics and Dentofacial Orthopedics)
3236 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Dentist (Periodontics)
3236 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Dentist (General Practice)
3236 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907

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 Scott Frederick's NPI number?

The NPI number for Scott Frederick is 1467640904. It was assigned to this individual provider in the NPPES registry on October 10, 2007.

Where is Scott Frederick located?

Scott Frederick practices at 3236 Centennial Blvd, Colorado Springs, CO 80907. The listed phone number is (719) 355-2700.

What is Scott Frederick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Scott Frederick enrolled in Medicare?

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

What insurance does Scott Frederick accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Scott 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 Scott Frederick was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.