JAMES E FREDERICK MD
NPI 1861588469
Family Medicine in Utica, NY

Q: What is James Frederick's NPI number?

The NPI number for James Frederick is 1861588469. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is James Frederick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Frederick was last updated on January 12, 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.

Active since October 04, 2006PECOS Enrolled

1427 GENESEE ST, UTICA, NY 13501(315) 798-8868(315) 368-0195 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About James E Frederick Md NPPES

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

JAMES E FREDERICK MD (NPI 1861588469) is an individual family medicine provider in Utica, New York, licensed in New York (146667) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861588469

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES E FREDERICKCredential: MD

Location Address1427 GENESEE STUtica, NY 13501-4343

Mailing Address9 Toggletown LnClinton, NY 13323-1561

Phone(315) 798-8868

Fax(315) 368-0195

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJanuary 12, 2016

✔ NPI 1861588469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 146667

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.

1427 GENESEE ST, Utica, NY 13501

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Other Identifiers 3

Medicare UPINB82426

Medicaid146667NY

Medicare PINRA6487

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James E Frederick 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.

Medicare Billing Reassignment

Medicare enrollment records show James Frederick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upstate Cerebral Palsy, Inc.

0.4 mi

Mental Health (Including Community Mental Health Center)

1002 OSWEGO ST
Utica, NY 13502

Reassigned Medicare billing, New York enrollment
67 clinicians in this Medicare group

NPI 1215098207 (315) 798-8868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13501 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

KAREN G. DZIOK LCSW

Social Worker (Clinical)