CHARLES FREDERICKS M.D.
NPI 1952747628
Surgery in Sacramento, CA

Q: What is Charles Fredericks's NPI number?

The NPI number for Charles Fredericks is 1952747628. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Q: What is Charles Fredericks's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment

78.08/100

CMS Quality Rating

2315 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-5638 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles Fredericks M.d. NPPES

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

CHARLES FREDERICKS M.D. (NPI 1952747628) is an individual surgery provider in Sacramento, California, licensed in California (A161492) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Rutgers New Jersey Medical School (2013).

NPPES Registry Identity

NPI1952747628

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameCHARLES FREDERICKSCredential: M.D.

Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201

Mailing Address531 Grape StHammonton, NJ 08037-1654

Phone(916) 734-5638

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2013

Enumeration DateMay 21, 2013

Last NPPES UpdateJune 25, 2019

✔ NPI 1952747628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in CA · A161492✔ Licensed in IL · 125-063161

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2315 STOCKTON BLVD, Sacramento, CA 95817

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Secondary Practice Location 1

Location 11653 W Congress PkwyChicago, IL 60612-3833 · Phone (312) 942-6510

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

Charles Fredericks 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 ID8325346430

PECOS Enrollment IDI20200630000671

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

67 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

42 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

28 services18 patients

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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

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.

78.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.65

Improvement Activities

Cost

52.58

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$12.07 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN STUCKER

Social Worker (Clinical)

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-5628

MARIA ISABEL AGUILAR

Registered Nurse

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-8730

NATHAN JACOB VANDEN BERGE

Emergency Medicine

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-8570

PETER SANTIAGO C.O., C.PED., FAAOP

Specialist

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-7045

SHIELA LEIGH SAMSON ANGULO DO

Student in an Organized Health Care Education/Training Program

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-5974

MS. KATHLEEN DOLORES VAN LEEUWEN MD

Surgery (Pediatric Surgery)

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-3229

STEPHEN MULFORD

Physical Therapy Assistant

2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817

Sacramento County (916) 734-7248

MR. MARK YAMADA

Occupational Therapist

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-7248

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 Charles Fredericks's NPI number?

The NPI number for Charles Fredericks is 1952747628. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Charles Fredericks located?

Charles Fredericks practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-5638.

What is Charles Fredericks's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Fredericks enrolled in Medicare?

Yes. Charles Fredericks 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 Charles Fredericks was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.