JOHN RANDALL FREDERICK M.D.
NPI 1669453213
Surgery in Meadowbrook, PA
About John Randall Frederick M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN RANDALL FREDERICK M.D. (NPI 1669453213) is an individual surgery provider in Meadowbrook, Pennsylvania, licensed in Pennsylvania (M.D.032063E) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Randall Frederick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Frederick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wyncote, PA 19095
- Reassigned Medicare billing, Pennsylvania enrollment
- 23 clinicians in this Medicare group
Bryn Mawr, PA 19010
- Reassigned Medicare billing, Pennsylvania enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MEADOWBROOK, PA 19046
MEADOWBROOK, PA 19046
MEADOWBROOK, PA 19046
MEADOWBROOK, PA 19046
MEADOWBROOK, PA 19046
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 John Frederick's NPI number?
The NPI number for John Frederick is 1669453213. It was assigned to this individual provider in the NPPES registry on November 10, 2005.
Where is John Frederick located?
John Frederick practices at 1650 Huntingdon Pike Suite 154, Meadowbrook, PA 19046. The listed phone number is (215) 938-3145.
What is John Frederick's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is John Frederick enrolled in Medicare?
Yes. John Frederick is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Frederick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Frederick reassigns Medicare benefits to 2 organizations: Renew Wound Care Of Pennsylvania LLC (Wyncote, PA) and Vohra Post Acute Care Physicians Of The Northeast PA (Bryn Mawr, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Frederick was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# John Randall Frederick, M.D. · NPI 1669453213
Surgery physician in Meadowbrook, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 10, 2005.
## Identity
- **NPI:** 1669453213 (Entity type: Individual)
- **Enumerated:** November 10, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** M.D.032063E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 HUNTINGDON PIKE, SUITE 154, Meadowbrook, PA 19046-8004
- **Phone:** (215) 938-3145 · **Fax:** (215) 938-3144
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Renew Wound Care Of Pennsylvania LLC (NPI 1194442640, Wyncote, PA); Vohra Post Acute Care Physicians Of The Northeast PA (NPI 1275969131, Bryn Mawr, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2016
- **Other identifiers:** Medicare UPIN E-23152 (PA); Medicaid 1886916-03 (PA); Medicare PIN 053181QCW (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1669453213) · Data from the CMS NPPES public registry.