Active NPI 1043507866 Individual Practitioner Male Practitioner

Dr. Luke Richard Frederick , MD

Urology • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luke Frederick, MD is a certified Urology practicing in Rockford, IL. With approximately 15 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2011, Dr. Frederick delivers high-quality medical care to the local community at 351 EXECUTIVE PKWY.

Dr. Frederick is affiliated with Rockford Urological Associates Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

351 Executive Pkwy

Rockford, IL 611075339

Telephone 8153984057

Fax 8153980220

Associated Practice Facility / Clinic

🏢 Rockford Urological Associates, Ltd. Facility NPI 1194786558

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Rockford, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -6.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

12 Specialists

Practicing in Rockford, IL (663 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Frederick (15 Years) 15 Yrs

Rockford Specialty Average (21.0 Years) 21.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	534	392	$31.00	$2.19
99213 Established patient office or other outpatient visit, typically 15 minutes	332	280	$175.00	$86.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	199	$250.00	$122.46
51798 Ultrasound measurement of bladder capacity after voiding	218	174	$192.00	$10.33
84153 Psa (prostate specific antigen) measurement, total	185	147	$100.00	$17.75
36415 Insertion of needle into vein for collection of blood sample	185	147	$28.00	$8.56
52000 Diagnostic exam of bladder and urethra using an endoscope	116	101	$590.00	$216.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$375.00	$162.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$279.10	$107.78
51702 Simple insertion of temporary bladder tube	57	27	$246.00	$58.64
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	48	12	$2200.00	$776.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	44	$83.00	$21.71
76872 Ultrasound scan of pelvic region through rectum	40	40	$478.00	$126.55
99442 Telephone medical discussion with physician, 11-20 minutes	29	29	$138.28	$84.44
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	22	21	$510.00	$30.57
55899 Other procedure on male genital system	22	21	$1253.77	$251.83
51741 Electronic assessment of bladder emptying	21	21	$192.00	$6.91
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	14	$130.00	$32.78
55700 Biopsy of prostate gland	15	15	$561.00	$229.60
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$490.00	$52.88
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$293.00	$75.75
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$113.85	$53.75
50590 Shock wave crushing of kidney stones	13	12	$4470.00	$519.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$120.00	$53.97
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1615.38	$374.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$366.00	$127.92
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2541.00	$716.25
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	12	12	$3100.00	$1154.23
55867 Simple surgical subtotal removal of prostate using laparoscope	11	11	$3000.00	$1032.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	579	379	$31.00	$2.19
99213 Established patient office or other outpatient visit, typically 15 minutes	470	363	$175.16	$87.83
51798 Ultrasound measurement of bladder capacity after voiding	225	176	$192.00	$10.03
36415 Insertion of needle into vein for collection of blood sample	198	154	$28.00	$8.37
84153 Psa (prostate specific antigen) measurement, total	197	153	$100.00	$17.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	161	$250.00	$123.79
52000 Diagnostic exam of bladder and urethra using an endoscope	110	91	$590.00	$229.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$280.00	$108.18
51702 Simple insertion of temporary bladder tube	68	30	$246.00	$58.56
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	66	11	$1015.15	$180.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$375.00	$163.67
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	43	38	$83.00	$22.04
76872 Ultrasound scan of pelvic region through rectum	35	35	$478.00	$125.74
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	34	17	$300.00	$111.51
99442 Telephone medical discussion with physician, 11-20 minutes	30	29	$130.00	$88.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$122.04	$52.84
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	21	18	$130.00	$32.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$366.00	$129.80
51741 Electronic assessment of bladder emptying	18	18	$192.00	$8.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	17	$2111.11	$149.51
55867 Simple surgical subtotal removal of prostate using laparoscope	16	16	$2250.00	$1044.56
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1593.75	$398.16
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$293.00	$83.34
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$226.00	$70.37
55700 Biopsy of prostate gland	11	11	$561.00	$234.43
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$490.00	$51.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,701	13	$7.08	$2.81
81003 Automated urinalysis test	577	377	$31.00	$2.21
99213 Established patient office or other outpatient visit, typically 15 minutes	404	329	$175.00	$88.40
51798 Ultrasound measurement of bladder capacity after voiding	214	171	$192.00	$9.87
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	198	23	$1000.00	$176.69
36415 Insertion of needle into vein for collection of blood sample	194	158	$28.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	191	155	$100.00	$17.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	126	$250.00	$125.57
52000 Diagnostic exam of bladder and urethra using an endoscope	115	93	$590.00	$238.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$280.00	$110.82
99442 Telephone medical discussion with physician, 11-20 minutes	61	55	$130.00	$87.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$375.00	$162.78
51702 Simple insertion of temporary bladder tube	52	23	$246.00	$60.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	39	$120.00	$55.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	37	$83.00	$22.20
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	36	15	$300.00	$115.99
51720 Instillation of anti-cancer drug into bladder	35	13	$350.00	$85.56
76872 Ultrasound scan of pelvic region through rectum	34	34	$478.00	$131.96
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	23	$130.00	$31.83
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	19	$2356.00	$154.87
55700 Biopsy of prostate gland	17	17	$561.00	$235.28
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$490.00	$54.75
51741 Electronic assessment of bladder emptying	16	16	$192.00	$9.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$366.00	$134.54
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$1700.00	$441.42
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	13	13	$4900.00	$1656.38
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$954.00	$315.58
74420 Imaging of urinary tract	11	11	$259.00	$24.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	507	349	$31.00	$2.25
99213 Established patient office or other outpatient visit, typically 15 minutes	340	271	$175.00	$89.61
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	234	28	$1000.00	$176.56
51798 Ultrasound measurement of bladder capacity after voiding	187	144	$192.00	$9.60
36415 Insertion of needle into vein for collection of blood sample	146	115	$28.00	$3.00
84153 Psa (prostate specific antigen) measurement, total	144	113	$100.00	$18.28
52000 Diagnostic exam of bladder and urethra using an endoscope	126	105	$590.00	$227.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	110	$120.00	$54.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	96	$250.00	$127.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$280.00	$110.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$375.00	$164.56
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	61	56	$83.00	$21.95
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	45	28	$130.00	$31.43
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	44	16	$300.00	$123.33
99442 Telephone medical discussion with physician, 11-20 minutes	41	41	$127.41	$85.35
51702 Simple insertion of temporary bladder tube	40	26	$246.00	$62.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$366.00	$136.02
76872 Ultrasound scan of pelvic region through rectum	26	26	$478.00	$134.13
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$490.00	$57.12
55700 Biopsy of prostate gland	22	22	$561.00	$247.49
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$226.00	$72.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	13	$2347.06	$157.02
50590 Shock wave crushing of kidney stones	13	11	$4470.00	$578.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,050	16	$6.88	$2.80
81003 Automated urinalysis test	423	274	$31.00	$2.23
99213 Established patient office or other outpatient visit, typically 15 minutes	334	261	$175.00	$73.85
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	173	22	$1000.00	$221.38
51798 Ultrasound measurement of bladder capacity after voiding	173	140	$192.00	$9.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	99	$250.00	$106.15
84153 Psa (prostate specific antigen) measurement, total	114	87	$100.00	$18.14
36415 Insertion of needle into vein for collection of blood sample	114	87	$28.00	$2.98
52000 Diagnostic exam of bladder and urethra using an endoscope	105	77	$590.00	$201.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$280.00	$106.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$375.00	$161.89
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	46	46	$83.00	$22.33
51702 Simple insertion of temporary bladder tube	44	25	$246.00	$59.05
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	40	19	$300.00	$122.72
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	23	$130.00	$30.47
99442 Telephone medical discussion with physician, 11-20 minutes	34	33	$73.47	$71.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$120.00	$44.66
51720 Instillation of anti-cancer drug into bladder	21	16	$350.00	$82.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$459.00	$204.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$366.00	$139.92
76872 Ultrasound scan of pelvic region through rectum	18	18	$478.00	$131.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	14	$2256.25	$150.54
55700 Biopsy of prostate gland	14	14	$561.00	$231.74
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$490.00	$53.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	598	365	$31.00	$2.43
99213 Established patient office or other outpatient visit, typically 15 minutes	324	238	$175.00	$72.02
51798 Ultrasound measurement of bladder capacity after voiding	181	134	$192.00	$11.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	141	$250.00	$104.09
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	132	16	$1000.00	$224.27
84153 Psa (prostate specific antigen) measurement, total	126	95	$100.00	$19.71
36415 Insertion of needle into vein for collection of blood sample	124	94	$28.00	$2.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$375.00	$158.49
52000 Diagnostic exam of bladder and urethra using an endoscope	103	83	$590.00	$181.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	49	$120.00	$43.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$280.00	$106.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	33	$83.00	$21.77
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	36	18	$130.00	$29.40
76872 Ultrasound scan of pelvic region through rectum	30	29	$478.00	$121.93
51702 Simple insertion of temporary bladder tube	30	15	$246.00	$56.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$366.00	$137.33
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	24	$490.00	$55.57
55700 Biopsy of prostate gland	24	24	$561.00	$245.40
74420 Imaging of urinary tract	21	21	$259.00	$25.84
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	19	15	$300.00	$118.79
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	19	$1600.00	$121.74
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1500.00	$415.32
51705 Removal of skin suture with change of bladder tube	14	11	$225.00	$91.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$459.00	$202.50
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$954.00	$265.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$399.00	$143.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	679	398	$31.00	$2.70
99213 Established patient office or other outpatient visit, typically 15 minutes	281	214	$152.49	$70.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	192	$226.53	$103.77
51798 Ultrasound measurement of bladder capacity after voiding	191	152	$192.00	$14.72
84153 Psa (prostate specific antigen) measurement, total	124	94	$100.00	$22.26
36415 Insertion of needle into vein for collection of blood sample	123	93	$28.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$350.89	$158.57
52000 Diagnostic exam of bladder and urethra using an endoscope	104	79	$590.00	$159.45
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	84	11	$1000.00	$213.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$255.48	$104.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	43	$96.06	$42.20
J9031 Bcg (intravesical) per instillation	45	18	$344.00	$136.00
51720 Instillation of anti-cancer drug into bladder	45	18	$350.00	$81.90
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	42	22	$300.00	$122.27
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	23	$59.00	$20.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$366.00	$135.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	20	$1750.00	$154.56
74420 Imaging of urinary tract	21	21	$259.00	$17.42
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	19	11	$130.00	$28.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$126.00	$38.93
51702 Simple insertion of temporary bladder tube	17	11	$246.00	$61.63
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	14	$490.00	$57.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$374.00	$141.22
76872 Ultrasound scan of pelvic region through rectum	15	14	$478.00	$91.81
55700 Biopsy of prostate gland	14	14	$561.00	$241.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$459.00	$200.90
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$1500.00	$425.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	625	383	$31.00	$3.02
99213 Established patient office or other outpatient visit, typically 15 minutes	379	272	$150.00	$69.99
51798 Ultrasound measurement of bladder capacity after voiding	162	125	$192.00	$17.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$255.00	$102.83
52000 Diagnostic exam of bladder and urethra using an endoscope	122	108	$590.00	$157.66
36415 Insertion of needle into vein for collection of blood sample	114	90	$28.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	114	90	$100.00	$24.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	84	$225.00	$101.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$350.00	$157.74
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	34	20	$300.00	$119.10
51720 Instillation of anti-cancer drug into bladder	31	13	$350.00	$83.51
J9031 Bcg (intravesical) per instillation	30	12	$344.00	$127.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	26	$58.00	$19.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$126.00	$38.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$459.00	$199.92
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	20	$1500.00	$125.88
76872 Ultrasound scan of pelvic region through rectum	18	16	$478.00	$86.81
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	16	$490.00	$55.78
55700 Biopsy of prostate gland	16	16	$561.00	$230.06
74420 Imaging of urinary tract	16	15	$259.00	$17.35
52240 Destruction and/or removal of large growth of bladder using an endoscope	13	11	$2793.00	$383.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$95.00	$41.88

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036140866

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License IL 125.059642

Hospital & Practice Group Affiliations

Rockford Urological Associates Ltd

351 Executive Pkwy, Rockford, IL 611075339

Phone: 8153984057

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Daniel Houlihan , DO

Urology

NPI 1003886094

Doctor of Osteopathic Medicine (D.O.)

Lilia Avila , FNP-C

Nurse Practitioner - Family

NPI 1063993731

Family Nurse Practitioner (Certified)

Ashley Wire , FNP-BC

Nurse Practitioner - Family

NPI 1255013652

Family Nurse Practitioner (Board Certified)

Dr. Christopher Whelan , MD

Urology

NPI 1275745267

Doctor of Medicine (M.D.)

Dr. Douglas Roegner , MD

Urology

NPI 1396725503

Doctor of Medicine (M.D.)

Dr. Daniel Swift , MD

Urology

NPI 1447230172

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 21, 2016

Registered at 351 EXECUTIVE PKWY, ROCKFORD, IL 611075339 (Tel: 8153984057)

📍

Updated Business Mailing Address June 21, 2016

Registered at 351 EXECUTIVE PKWY, ROCKFORD, IL 611075339 (Tel: 8153984057)

👤

Provider Name / Credentials Updated June 21, 2016

Recorded as LUKE FREDERICK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2016

Urology (License #036140866 in IL)

🟢

Initial NPI Registration & Enumeration June 30, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1043507866

Entity Type:

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

Enumeration Date: June 30, 2011

Last Update: June 21, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

351 Executive Pkwy

Rockford, IL 611075339

Phone: 8153984057

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.