Deactivated NPI 1124095849 Deactivated / Inactive NPI Male Practitioner

Dr. Frederick Lawrence Dewberry , MD

Specialist • Clearwater, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Frederick Dewberry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2006

NPI Deactivation Date January 31, 2022

Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Dewberry, MD was a registered Specialist practicing in Clearwater, FL. Throughout an active medical career spanning 16 years, Dr. Dewberry provided care at the practice location at 617 LAKEVIEW ROAD until profile deactivation on 2022-01-31.

Historical Medicare Part B clinical services included established patient outpatient office visit, dialysis services, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

617 Lakeview Road
Suite C

Clearwater, FL 33756

Telephone 7274413724

Fax 7274422594

Associated Practice Facility / Clinic

🏢 Nephrology Consultants Of Pinellas Llc Facility NPI 1003837337

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Clearwater, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 35.3 Yrs

State Avg: 37.8 Yrs

Regional Practice Density

51 Specialists

Practicing in Clearwater, FL (3036 Statewide)

Telehealth Adoption Rate

2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	141	$220.00	$107.31
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	174	52	$550.00	$283.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$330.00	$164.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	502	69	$550.00	$273.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	416	188	$220.00	$102.58
90970 Dialysis services, per day, less than full month service (20 years or older)	174	18	$15.00	$7.57
90966 Home dialysis services per month, patient 20 years of age or older	84	11	$450.00	$219.35
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	41	31	$460.00	$231.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	16	$210.00	$101.80
G0008 Administration of influenza virus vaccine	36	35	$37.50	$19.91
90662 Influenza vaccine split virus, preservative free	35	34	$70.29	$50.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$330.00	$154.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	571	24	$15.00	$8.99
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	512	71	$550.00	$340.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	194	$172.55	$124.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	117	49	$164.64	$126.47
90966 Home dialysis services per month, patient 20 years of age or older	112	20	$450.00	$273.83
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	44	30	$460.00	$279.90
G0008 Administration of influenza virus vaccine	24	24	$44.58	$24.61
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$114.67	$84.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$284.40	$193.28
90662 Influenza vaccine split virus, preservative free	15	15	$80.00	$48.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$335.43	$229.61

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME00034568

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dorothy Posgai , ARNP

Nurse Practitioner - Adult Health

NPI 1467681973

Advanced Registered Nurse Practitioner

Dr. Michael Ham , MD

Specialist

NPI 1962421081

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated January 31, 2022

Record deactivated on January 31, 2022

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NPI Profile Active January 05, 2015

NPI status registered as active in NPPES database

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Updated Practice Location January 05, 2015

Registered at 617 LAKEVIEW ROAD, SUITE C, CLEARWATER, FL 33756 (Tel: 7274413724)

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Updated Business Mailing Address January 05, 2015

Registered at 617 LAKE VIEW ROAD, SUITE C, CLEARWATER, FL 33756 (Tel: 7274413724)

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Provider Name / Credentials Updated January 05, 2015

Recorded as FREDERICK DEWBERRY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2015

Specialist (License #ME00034568 in FL)

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Initial NPI Registration & Enumeration March 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124095849

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 01, 2006

Last Update: January 05, 2015

Deactivation Date: January 31, 2022

Update or Correct Profile

Mailing Address

617 Lake View Road, Suite C

Clearwater, FL 33756

Phone: 7274413724

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.