ARIEL FREDRICK M.D.
NPI 1487093423
Urology in Burlington, MA
NPI Status: Active since June 24, 2013
Contact Information
41 MALL RD
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-8585
Fax: (781) 744-5636
NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Sep 6, 2019, Aug 22, 2019 (2 updates tracked since 2019).
- Individual
- Female
- Years of Experience 14
- Urology
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About ARIEL FREDRICK
This page provides the complete NPI Profile along with additional information for Ariel Fredrick, a provider established in Burlington, Massachusetts with a medical specialization in Urology and more than 14 years of experience. She graduated from State University Of New York At Buffalo School Of Medicine in 2013. The healthcare provider is registered in the NPI registry with number 1487093423 assigned on June 2013. The practitioner's primary taxonomy code is 208800000X with license number 279437 (MA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1487093423
- Provider Name
- ARIEL FREDRICK M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 41 MALL RD BURLINGTON, MA 01805
- Location Phone
- (781) 744-8585
- Location Fax
- (781) 744-5636
- Mailing Address
- 41 MALL RD BURLINGTON, MA 01805
- Mailing Phone
- (781) 744-8585
- Mailing Fax
- (781) 744-5636
- Medical School Name
- STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-24-2013
- Last Update Date
- 09-06-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 279437
- License State
- MA
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO
- NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ariel Fredrick is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Ariel Fredrick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4284963174
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20190903001093, I20190909003858
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF008N)
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each (HCPCS:A4351)
3 DME suppliers used 21 Medicare Claims 1470 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Automated urinalysis test
Bilirubin level, total
Body fluid ph level
Cell examination of specimen, selective cellular enhancement technique
Chemical analysis using spectrophotometry (light)
Creatinine level to test for kidney function or muscle injury
Diagnostic exam of bladder and urethra using an endoscope
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
Glucose (sugar) level on body fluid
Ketone bodies analysis, quantitative
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
Total protein level, urine
Ultrasound measurement of bladder capacity after voiding
Urinalysis for bacteria
Urine hemoglobin level
Urine microalbumin (protein) level
Urobilinogen (metabolism substance) level, urine
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 15 times for 15 patientsA total bilirubin level test is a blood test that helps check how well your liver is functioning. It measures bilirubin, a yellow substance your body creates when it breaks down red blood cells. High levels may indicate a problem with your liver or bile duct.
This service was performed 237 times for 167 patientsA body fluid pH level test measures the acidity or alkalinity of your body fluids, such as blood or urine. It's crucial for maintaining good health as it can affect your body's ability to carry out vital functions. Imbalances might indicate a health issue.
This service was performed 237 times for 167 patientsCell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
This service was performed 15 times for 13 patientsSpectrophotometry is a scientific method used to measure how much a chemical substance absorbs light. This helps in identifying and determining the concentration of that substance in a sample. It's non-invasive, accurate, and used in various medical tests.
This service was performed 237 times for 167 patientsA creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
This service was performed 236 times for 167 patientsThis procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
This service was performed 50 times for 46 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 20 times for 18 patientsThis 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.
This service was performed 93 times for 80 patientsThis 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.
This service was performed 153 times for 105 patientsThe glucose level in body fluid test measures the amount of sugar in your body's fluids. This test is crucial in managing conditions like diabetes. High or low levels could indicate a health issue that needs attention.
This service was performed 237 times for 167 patientsKetone bodies analysis, quantitative, is a blood test that measures the level of ketones in your body. High levels can indicate diabetes, starvation, or other conditions. This test helps doctors monitor your body's energy use and can guide treatment plans.
This service was performed 237 times for 167 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 65 times for 65 patientsThe Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.
This service was performed 236 times for 167 patientsUltrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
This service was performed 107 times for 89 patientsUrinalysis for bacteria is a test that checks your urine for the presence of bacteria. The test involves collecting a urine sample in a sterile container. The sample is then examined in a lab to identify any bacteria. This helps in diagnosing infections in the urinary system.
This service was performed 237 times for 167 patientsThe urine hemoglobin level test checks for the presence of hemoglobin, a protein in your red blood cells, in your urine. This test helps identify conditions affecting your blood cells or kidneys. It's non-invasive and involves a routine urine sample.
This service was performed 236 times for 167 patientsThe urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
This service was performed 237 times for 167 patientsThe Urobilinogen Level Urine test measures the amount of urobilinogen in your urine. Urobilinogen is a substance that your body produces when it breaks down red blood cells. High or low levels could indicate issues with your liver or red blood cells.
This service was performed 236 times for 167 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01805 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Plan | 88% | 603 |
| Closing the Referral Loop: Receipt of Specialist Report | 51% | 106 |
| Documentation of Current Medications in the Medical Record | 94% | 1853 |
| e-Prescribing | 98% | 244 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 25% | 1261 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 13% | 1832 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 62% | 593 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 31 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 67% | 593 |
| Provide Patients Electronic Access to Their Health Information | 48% | 480 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 613 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 613 |
| Use of High-Risk Medications in Older Adults | 1% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 613 |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ariel Fredrick is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| NORTHERN LIGHT HEALTH | 144 STATE STREET PORTLAND, ME 04101 | (207) 879-3000 | Acute Care Hospitals | |
| MAINE MEDICAL CENTER | 22 BRAMHALL ST PORTLAND, ME 04102 | (207) 662-0111 | Acute Care Hospitals | |
| YORK HOSPITAL | 15 HOSPITAL DRIVE YORK, ME 03909 | (207) 351-2478 | Acute Care Hospitals | |
| BRIDGTON HOSPITAL | 10 HOSPITAL DRIVE BRIDGTON, ME 04009 | (207) 647-6000 | Critical Access Hospitals | |
| MEMORIAL HOSPITAL, THE | 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY, NH 03860 | (603) 356-5461 | Critical Access Hospitals |
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1487093423, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487093423, enumerated as an "individual" on June 24, 2013.
The provider is located at 41 MALL RD BURLINGTON, MA 01805 and the phone number is (781) 744-8585.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.
Ariel Fredrick is affiliated with: NORTHERN LIGHT HEALTH, MAINE MEDICAL CENTER, YORK HOSPITAL, BRIDGTON HOSPITAL and MEMORIAL HOSPITAL, THE.
