BRIAN J FREDERICK M.D.
NPI 1992025605
Hospitalist in Eau Claire, WI

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
1221 WHIPPLE ST, EAU CLAIRE, WI 54703(715) 838-5222 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2022, May 18, 2022, Nov 12, 2020 (3 updates tracked since 2020).

About Brian J Frederick M.d. NPPES

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

BRIAN J FREDERICK M.D. (NPI 1992025605) is an individual hospitalist provider in Eau Claire, Wisconsin, licensed in Wisconsin (61029-20) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1992025605
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBRIAN J FREDERICKCredential: M.D.
Location Address1221 WHIPPLE STEau Claire, WI 54703-5200
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2010
Enumeration DateJune 3, 2010
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1992025605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 61029-20
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1221 WHIPPLE ST, Eau Claire, WI 54703

Secondary Practice Location 1

Location 1700 S Park StMadison, WI 53715-1830 · Phone (608) 251-6100 · Fax (608) 258-6259

Other Identifiers 1

Medicaid1992025605WI

Accepted Insurance

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

Brian J Frederick 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 ID6103054465
PECOS Enrollment IDI20140113000372
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 6

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 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.
490 services170 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
99 services96 patients
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.
93 services65 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
89 services55 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.
45 services44 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
33 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521314
Location1501 Thompson StBloomer, WI 54724 · Chippewa County
Emergency services

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521340
Location2321 Stout RdMenomonie, WI 54751 · Dunn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54703 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$30.54 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.

Nurse Anesthetist, Certified Registered
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Nurse Anesthetist, Certified Registered
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Nurse Anesthetist, Certified Registered
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Nurse Practitioner
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Anesthesiology
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Occupational Therapist
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Nurse Anesthetist, Certified Registered
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Anesthesiology
1221 WHIPPLE ST
EAU CLAIRE, WI 54703

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 Brian Frederick's NPI number?

The NPI number for Brian Frederick is 1992025605. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Brian Frederick located?

Brian Frederick practices at 1221 Whipple St, Eau Claire, WI 54703. The listed phone number is (715) 838-5222.

What is Brian Frederick's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Brian Frederick enrolled in Medicare?

Yes. Brian Frederick 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.

What insurance does Brian Frederick accept?

Health plans from Medica list Brian Frederick 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 Brian Frederick affiliated with any hospitals?

According to CMS data, Brian Frederick is affiliated with Mayo Clinic Health System Eau Claire Hospital, Mayo Clinic Health System Chippewa Valley and Mayo Clinic Health System-Red Cedar Inc.

When was this NPI record last updated?

The NPPES record for Brian Frederick was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.