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DR. FRED REVOREDO M.D.
NPI 1669588422
Family Medicine in Paterson, NJ

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
425 15TH AVE, PATERSON, NJ 07504(973) 345-4155 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Fred Revoredo M.d. NPPES

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

DR. FRED REVOREDO M.D. (NPI 1669588422) is an individual family medicine provider in Paterson, New Jersey, licensed in New Jersey (25MA07147400) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of George Washington University School Of Medicine (1995).

NPPES Registry Identity

NPI1669588422
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FRED REVOREDOCredential: M.D.
Location Address425 15TH AVEPaterson, NJ 07504-1811
Mailing Address425 15th AvenuePaterson, NJ 07504-1811 · (973) 345-4155
Phone(973) 345-4155
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 1995
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1669588422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA07147400
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 25MA07147400 (NJ)
425 15TH AVE, Paterson, NJ 07504
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Other Identifiers 1

Medicaid8376808NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Fred Revoredo M.d. 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 ID3779479480
PECOS Enrollment IDI20040227000314
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 Billing Reassignments

2

Medicare enrollment records show Fred Revoredo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elite Premier Medical Care Plus LLC.
1.5 mi
Family Medicine
15-01 BROADWAY
Fair Lawn, NJ 07410
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1205531688 (201) 773-4200
Aizer Health , Inc.
29 mi
Federally Qualified Health Center (FQHC)
49 FOREST ROAD
Monroe, NY 10950
  • Reassigned Medicare billing, New York enrollment
  • 97 clinicians in this Medicare group
NPI 1063480218 (845) 782-3242

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 11

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
303 services158 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.
272 services79 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services57 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
76 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
52 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07504 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.3
Improvement Activities40
Cost100

Reported Quality Measures

Breast Cancer Screening
70%471 patients4/55-star benchmark: 93%
Controlling High Blood Pressure
100%280 patients5/55-star benchmark: 98%
Diabetes: Eye Exam
99%474 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%8,386 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
93%1,779 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
96%1,182 patients4/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers39 claims104 services$5.90 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers22 claims36 services$1.00 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
8 suppliers26 claims2,139 services$0.03 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier19 claims19 services$14.15 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier19 claims19 services$6.29 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
9 suppliers21 claims21 services$18.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARIE ANNE NELY GERMAIN MD
Student in an Organized Health Care Education/Training Program
425 15TH AVE
PATERSON, NJ 07504
Passaic County (973) 345-4024
GUIVARD SAINT GERMAIN MD
Student in an Organized Health Care Education/Training Program
425 15TH AVE
PATERSON, NJ 07504
Passaic County (973) 345-4024
REVOREDO MEDICAL AFFILIATES LLC
Family Medicine
425 15TH AVE
PATERSON, NJ 07504
Passaic County (973) 345-4024

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 Fred Revoredo's NPI number?

The NPI number for Fred Revoredo is 1669588422. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Fred Revoredo located?

Fred Revoredo practices at 425 15th Ave, Paterson, NJ 07504. The listed phone number is (973) 345-4155.

What is Fred Revoredo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fred Revoredo enrolled in Medicare?

Yes. Fred Revoredo 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.

Which organizations bill Medicare for Fred Revoredo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fred Revoredo reassigns Medicare benefits to 2 organizations: Elite Premier Medical Care Plus LLC. (Fair Lawn, NJ) and Aizer Health , Inc. (Monroe, NY). 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 Fred Revoredo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fred Revoredo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Fred Revoredo 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.

Is Fred Revoredo affiliated with any hospitals?

According to CMS data, Fred Revoredo is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Fred Revoredo was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.