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MATILDE FREDRICKSON DO
NPI 1770011348
Family Medicine - Addiction Medicine in Oakland, CA

Active since May 26, 2017PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1411 E 31ST ST, OAKLAND, CA 94602(510) 437-5039 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2018, May 26, 2017 (2 updates tracked since 2017).

About Matilde Fredrickson Do NPPES

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

MATILDE FREDRICKSON DO (NPI 1770011348) is an individual addiction medicine provider in Oakland, California, licensed in California (20A16704) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2017).

NPPES Registry Identity

NPI1770011348
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameMATILDE FREDRICKSONCredential: DO
Location Address1411 E 31ST STOakland, CA 94602-1018
Mailing Address1923 8th StBerkeley, CA 94710-2014
Phone(510) 437-5039
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2017
Enumeration DateMay 26, 2017
Last NPPES UpdateSeptember 1, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
✔ NPI 1770011348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CA · 20A16704
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1411 E 31ST ST, Oakland, CA 94602
Open in Google Maps ↗

Other Names 1

Professional Name (2)Maty Gil Do

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

Matilde Fredrickson 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 ID1951709831
PECOS Enrollment IDI20211006003170
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

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 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.
19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

MS. YVONNE DIANE ESCARSEGA MSW
Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
MR. JUAN CASILLAS JR. NP
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4800
SADHANA SAMANT MD
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
PATRICIA SCOTT MEYER PA
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (209) 342-2300
NATHALIE BALOGUN MSW MPH
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Alameda County (510) 437-4949
CYNTHIA MARIE ROWDEN RN
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
DR. KAYLA ENRIQUEZ MD
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4564
DR. CHERYL LIN PARK M.D.
Surgery
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4743

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 Matilde Fredrickson's NPI number?

The NPI number for Matilde Fredrickson is 1770011348. It was assigned to this individual provider in the NPPES registry on May 26, 2017. The provider is also known as Maty Gil Do.

Where is Matilde Fredrickson located?

Matilde Fredrickson practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-5039.

What is Matilde Fredrickson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Matilde Fredrickson enrolled in Medicare?

Yes. Matilde Fredrickson 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.

When was this NPI record last updated?

The NPPES record for Matilde Fredrickson was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.