Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225288921 Individual Practitioner Female Practitioner

Dr. Patrice R Frederick , MD

Surgery • Tavares, FL

Professional Overview & Biography Verified Profile Summary

Dr. Patrice Frederick, MD is a registered healthcare professional specializing in Surgery in Tavares, FL. Practice services are available at 1290 WATERMAN WAY STE 1290 under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1290 Waterman Way Ste 1290

Tavares, FL 327785229

Telephone 3527420054

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tavares, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Tavares, FL (2030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.0% 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 (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $393.83 $90.77

Medical Specialties & State Licenses

CMS Verified: 2023-01-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME155086

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036117915

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036117915 (IL)

Secondary Practice Locations

840 S Wood St Ste 435e

Chicago, IL 606124325

Phone: 3123551493

Practice Associates & Co-Workers

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

6 Associated Practitioners
Ashley Concepcion

Nurse Practitioner - Family

NPI 1063094514
NPI 1215972336

Doctor of Medicine (M.D.)

NPI 1295963122

Doctor of Osteopathic Medicine (D.O.)

Rene Hawkins , APRN

Nurse Practitioner - Family

NPI 1528796042

Advanced Practice Registered Nurse

NPI 1548606619

Doctor of Osteopathic Medicine (D.O.)

Jessica Gonzalez

Nurse Practitioner - Family

NPI 1659125979

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 30, 2023

Registered at 1290 WATERMAN WAY STE 1290, TAVARES, FL 327785229 (Tel: 3527420054)

📍
Updated Business Mailing Address January 30, 2023

Registered at 1290 WATERMAN WAY STE 1290, TAVARES, FL 327785229 (Tel: 3527420054)

📍
Updated Practice Location February 28, 2018

Registered at 840 S WOOD ST STE 435E, CHICAGO, IL 606124325 (Tel: 3123551493)

📍
Updated Business Mailing Address February 28, 2018

Registered at 840 S WOOD ST STE 435E, CHICAGO, IL 606124325 (Tel: 3123551493)

NPI Profile Active December 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2013

Registered at 2320 HIGH ST, BLUE ISLAND, IL 604062426 (Tel: 7082267000)

📍
Updated Business Mailing Address December 19, 2013

Registered at 17495 LA GRANGE RD, TINLEY PARK, IL 604877581 (Tel: 7082267000)

👤
Provider Name / Credentials Updated December 19, 2013

Recorded as PATRICE FREDERICK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2013

Surgery (License #036117915 in IL)

🟢
Initial NPI Registration & Enumeration September 30, 2008

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: 1225288921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2008
Last Update: January 30, 2023
Sole Proprietor: No

Mailing Address

1290 Waterman Way Ste 1290

Tavares, FL 327785229

Phone: 3527420054

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.