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GARY W. FREDERICKSEN OD
NPI 1629035225
Optometrist in Williamsburg, VA

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
120 KINGS WAY, SUITE 1300, WILLIAMSBURG, VA 23185(757) 345-3001(757) 345-3102 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary W. Fredericksen Od NPPES

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

GARY W. FREDERICKSEN OD (NPI 1629035225) is an individual optometrist in Williamsburg, Virginia, licensed in Virginia (0618000905) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1981).

NPPES Registry Identity

NPI1629035225
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGARY W. FREDERICKSENCredential: OD
Location Address120 KINGS WAY, SUITE 1300Williamsburg, VA 23185-2505
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318
Phone(757) 345-3001
Fax(757) 345-3102
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1981
Enumeration DateApril 27, 2006
Last NPPES UpdateNovember 27, 2013
✔ NPI 1629035225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0618000905
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
120 KINGS WAY, Williamsburg, VA 23185
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Gary W. Fredericksen Od 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 ID840202487
PECOS Enrollment IDI20060622000116
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,138 services1,127 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
155 services130 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
135 services129 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
78 services69 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
55 services55 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
55 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23185 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

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.

RICHARD DAVID BAGNALL MD
Family Medicine
120 KINGS WAY, SUITE 1400
WILLIAMSBURG, VA 23185
York County (757) 345-2555
RIVERSIDE PHYSICIAN SERVICES INC
Optometrist
120 KINGS WAY, SUITE 1300
WILLIAMSBURG, VA 23185
York County (757) 345-1001
SHAWKE A SOUEIDAN MD
Psychiatry & Neurology (Neurology)
120 KINGS WAY, SUITE 2700
WILLIAMSBURG, VA 23185
York County (757) 221-0110
DENISE A HARBIN NP
Nurse Practitioner (Family)
120 KINGS WAY, SUITE 2700
WILLIAMSBURG, VA 23185
York County (757) 221-0110
LEANA S. LONG MD
Ophthalmology
120 KINGS WAY, SUITE 1300
WILLIAMSBURG, VA 23185
York County (757) 345-1001
JOANN BLAIR MELLO FNP-BC
Nurse Practitioner (Family)
120 KINGS WAY, SUITE 3100
WILLIAMSBURG, VA 23185
York County (757) 345-5724
DR. PETER S EVANS MS DDS MAGD
Dentist
120 KINGS WAY, SUITE 3600
WILLIAMSBURG, VA 23185
York County (757) 220-1999
COLONIAL CHIROPRACTIC
Chiropractor
120 KINGS WAY, SUITE 2100
WILLIAMSBURG, VA 23185
York County (757) 258-4500

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 Gary Fredericksen's NPI number?

The NPI number for Gary Fredericksen is 1629035225. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Gary Fredericksen located?

Gary Fredericksen practices at 120 Kings Way Suite 1300, Williamsburg, VA 23185. The listed phone number is (757) 345-3001.

What is Gary Fredericksen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gary Fredericksen enrolled in Medicare?

Yes. Gary Fredericksen 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 Gary Fredericksen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Gary Fredericksen 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 Gary Fredericksen was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.