NICHOLAS LORNE FREDERICKSON MD
NPI 1639809130
Pathology - Anatomic Pathology & Clinical Pathology in Charleston, SC

Q: What is Nicholas Frederickson's NPI number?

The NPI number for Nicholas Frederickson is 1639809130. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Q: What is Nicholas Frederickson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since June 16, 2022PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas Lorne Frederickson Md NPPES

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

NICHOLAS LORNE FREDERICKSON MD (NPI 1639809130) is an individual anatomic pathology & clinical pathology provider in Charleston, South Carolina, licensed in South Carolina (MMD.88225) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639809130

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameNICHOLAS LORNE FREDERICKSONCredential: MD

Location Address171 ASHLEY AVECharleston, SC 29425-0100

Mailing Address165 Ashley Ave # Msc908Charleston, SC 29425-8905 · (843) 792-1086

Phone(843) 792-1414

Sole ProprietorNo

Enumeration DateJune 16, 2022

NPPES CertifiedMay 9, 2022

✔ NPI 1639809130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in SC · MMD.88225

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

171 ASHLEY AVE, Charleston, SC 29425

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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)

Nicholas Lorne Frederickson Md 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 29425 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

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 20

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

CAROLYN REED WORD M.D.

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