DR. MICHAEL WOODWORTH FREDRICK DO
NPI 1619986304
Anesthesiology in Flagstaff, AZ

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 779-3366 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2020, Sep 24, 2018 (2 updates tracked since 2018).

About Dr. Michael Woodworth Fredrick Do NPPES

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

DR. MICHAEL WOODWORTH FREDRICK DO (NPI 1619986304) is an individual anesthesiology provider in Flagstaff, Arizona, licensed in Arizona (3679) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flagstaff, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1619986304
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. MICHAEL WOODWORTH FREDRICKCredential: DO
Location Address1200 N BEAVER STFlagstaff, AZ 86001-3118
Mailing Address1200 N Beaver StFlagstaff, AZ 86001-3118 · (928) 213-6235 · Fax (928) 213-6292
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 5, 2006
Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
NPI 1619986304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in AZ · 3679
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1200 N BEAVER ST, Flagstaff, AZ 86001

Secondary Practice Location 1

Location 177 W Forest Ave Ste 117Flagstaff, AZ 86001-1482 · Phone (928) 773-2505 · Fax (928) 773-2504

Other Identifiers 1

Medicaid597586AZ

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 and accepts Medicare assignment

Dr. Michael Woodworth Fredrick Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971797689
PECOS Enrollment IDI20101027000059
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.

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.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability100
Improvement Activities40
Cost63.71

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.

Anesthesiology
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Pediatrics (Neonatal-Perinatal Medicine)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Dietitian, Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Audiologist
1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001
Neurological Surgery
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001

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 Michael Fredrick's NPI number?

The NPI number for Michael Fredrick is 1619986304. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Michael Fredrick located?

Michael Fredrick practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 779-3366.

What is Michael Fredrick's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Michael Fredrick enrolled in Medicare?

Yes. Michael Fredrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Fredrick accept?

Health plans from Blue Cross Blue Shield of Arizona list Michael Fredrick 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 Michael Fredrick was last updated on September 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.