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DR. ROBERT HERBERT FREDRICKSON DDS
NPI 1508907809
Dentist - General Practice in Williamsport, PA

Active since February 09, 2007PECOS Enrolled
1124 MARKET ST, WILLIAMSPORT, PA 17701(570) 326-6170 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert Herbert Fredrickson Dds NPPES

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

DR. ROBERT HERBERT FREDRICKSON DDS (NPI 1508907809) is an individual general practice provider in Williamsport, Pennsylvania, licensed in Pennsylvania (DS017415L) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508907809
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROBERT HERBERT FREDRICKSONCredential: DDS
Location Address1124 MARKET STWilliamsport, PA 17701
Mailing Address1124 Market StWilliamsport, PA 17701 · (570) 326-6170
Phone(570) 326-6170
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508907809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS017415L
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1124 MARKET ST, Williamsport, PA 17701
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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. Robert Herbert Fredrickson 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 17701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 3

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

ROBERT HERBERT FREDRICKSON
Dentist
1124 MARKET ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 326-6170
SUZANNE CARMEN YERGER DC
Chiropractor
1124 MARKET ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 447-3664
ASCEND WELLNESS CENTER
Chiropractor
1124 MARKET ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 447-3664

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 Robert Fredrickson's NPI number?

The NPI number for Robert Fredrickson is 1508907809. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Robert Fredrickson located?

Robert Fredrickson practices at 1124 Market St, Williamsport, PA 17701. The listed phone number is (570) 326-6170.

What is Robert Fredrickson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Robert Fredrickson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Robert Fredrickson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.