DR. NATHAN P FREDRICK DO
NPI 1871525907
Emergency Medicine in Conway, SC

Q: What is Nathan Fredrick's NPI number?

The NPI number for Nathan Fredrick is 1871525907. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Nathan Fredrick's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Fredrick was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 07, 2006PECOS EnrolledAccepts Medicare Assignment

300 SINGLETON RIDGE RD, CONWAY, SC 29526(843) 347-8015(843) 347-8017 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Nathan P Fredrick Do NPPES

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

DR. NATHAN P FREDRICK DO (NPI 1871525907) is an individual emergency medicine provider in Conway, South Carolina, licensed in South Carolina (637) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1871525907

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. NATHAN P FREDRICKCredential: DO

Location Address300 SINGLETON RIDGE RDConway, SC 29526-9142

Mailing AddressPo Box 829Conway, SC 29528-0829 · (843) 347-8015 · Fax (843) 347-8017

Phone(843) 347-8015

Fax(843) 347-8017

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateJuly 7, 2006

Last NPPES UpdateAugust 17, 2011

✔ NPI 1871525907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SC · 637

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

300 SINGLETON RIDGE RD, Conway, SC 29526

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Other Identifiers 9

OtherP00679662Railroad Mcare

Medicaid0361220182IL

Medicare PINIL5306004IL

Medicare UPINH38199

Medicare PIN210426001IL

OtherP00936457IL · Rrmcare Thru Cesiisc (ges)

Other020051649Medicare Railroad

Medicare PINH381998822SC

MedicaidT00391SC

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. Nathan P Fredrick 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 ID2567557846

PECOS Enrollment IDI20081218000708

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

Medicare enrollment records show Nathan Fredrick reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group

671 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Epss LLC - Central Series

749 mi

Emergency Medicine

600 S 13TH ST
Pekin, IL 61554

Reassigned Medicare billing, Illinois enrollment
92 clinicians in this Medicare group

NPI 1538680467 (817) 451-4208

Methodist Medical Center Of Illinois

753 mi

Family Medicine

120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1265966048 (Illinois)
693 clinicians in this Medicare group

NPI 1184670663 (309) 671-8230

Epss, LLC- Metro Series

753 mi

Emergency Medicine

221 NE GLEN OAK AVE
Peoria, IL 61636

Reassigned Medicare billing, Illinois enrollment
52 clinicians in this Medicare group

NPI 1124782305 (309) 672-5522

Epss Peoria LLC

755 mi

Emergency Medicine

5409 N KNOXVILLE AVE, ER DEPARTMENT
Peoria, IL 61614

Reassigned Medicare billing, Illinois enrollment
90 clinicians in this Medicare group

NPI 1831421056 (309) 689-8603

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 5

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

157 services150 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

133 services128 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

54 services53 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

47 services47 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140013

Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County

Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29526 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

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.

CLINIC SERVICES OF SOUTH CAROLINA PC

Hospitalist