Active NPI 1366552762 Individual Practitioner Male Practitioner

Dr. Keith J. Frederick , DO

Orthopaedic Surgery • Rolla, MO

Professional Overview & Biography Verified Profile Summary

Dr. Keith Frederick, DO is a registered healthcare professional specializing in Orthopaedic Surgery in Rolla, MO. Practice services are available at 1000 W 10TH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 W 10th St

Rolla, MO 654012905

Telephone 5733649000

Fax 5732022484

Associated Practice Facility / Clinic

🏢 Phelps County Regional Medical Center Facility NPI 1578559076

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Rolla, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.3 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Rolla, MO (550 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.2% 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)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	198	116	$140.00	$85.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$201.00	$105.04
20610 Aspiration and/or injection of fluid from large joint	44	12	$176.00	$74.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$265.00	$130.34
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$196.00	$96.79
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3551.00	$1176.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	298	31	$9.43	$1.51
99213 Established patient office or other outpatient visit, typically 15 minutes	169	113	$139.31	$68.77
20610 Aspiration and/or injection of fluid from large joint	90	43	$182.76	$62.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$201.00	$100.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	33	$139.00	$67.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$202.75	$102.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$83.18	$42.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	812	85	$20.00	$1.60
99213 Established patient office or other outpatient visit, typically 15 minutes	303	183	$136.00	$68.86
20610 Aspiration and/or injection of fluid from large joint	216	102	$201.83	$61.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	167	167	$201.00	$101.86
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	147	28	$317.00	$77.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	52	$200.00	$102.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	44	$139.00	$70.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$81.00	$41.96
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3631.00	$1207.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	836	79	$19.99	$1.78
20610 Aspiration and/or injection of fluid from large joint	201	91	$192.36	$60.23
99213 Established patient office or other outpatient visit, typically 15 minutes	158	109	$136.00	$67.20
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	122	23	$311.31	$84.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$201.00	$100.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	48	$81.00	$40.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$261.00	$131.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$139.00	$70.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	496	56	$19.99	$1.82
20610 Aspiration and/or injection of fluid from large joint	179	74	$172.82	$63.92
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	158	24	$336.58	$85.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	146	100	$80.86	$39.82
99213 Established patient office or other outpatient visit, typically 15 minutes	54	48	$137.63	$65.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$202.00	$100.08
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$138.99	$68.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$266.80	$131.19

Medical Specialties & State Licenses

CMS Verified: 2024-12-27

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MO R4D88

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

242256303 (MO)

Secondary Practice Locations

1050 W 10th St

Rolla, MO 654012905

Phone: 5733645633

1000 W 10th St

Rolla, MO 654012905

Phone: 5734588899

Practice Associates & Co-Workers

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

40 Associated Practitioners

Yam Sharma

Pediatrics

NPI 1003699885

Dr. Bohdan Lebedowicz , MD

Internal Medicine

NPI 1023087731

Doctor of Medicine (M.D.)

Dr. Alan Heincker , DO

Orthopaedic Surgery

NPI 1023304037

Doctor of Osteopathic Medicine (D.O.)

Dr. Kelsey Knobbe , MD

Obstetrics & Gynecology

NPI 1023682069

Doctor of Medicine (M.D.)

Dr. Mignon Makos , MD

Psychiatry & Neurology - Neurology

NPI 1043203748

Doctor of Medicine (M.D.)

Steven Ballard , ANP

Nurse Practitioner - Adult Health

NPI 1043454564

Adult Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location December 27, 2024

Registered at 1000 W 10TH ST, ROLLA, MO 654012905 (Tel: 5733649000)

📍

Updated Business Mailing Address December 27, 2024

Registered at 1050 W 10TH ST, ROLLA, MO 654012905 (Tel: 5733649000)

📍

Updated Practice Location April 11, 2018

Registered at 1050 W 10TH ST, ROLLA, MO 654012905 (Tel: 5733645633)

📍

Updated Business Mailing Address April 11, 2018

Registered at 1050 W 10TH ST, ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS, ROLLA, MO 65401 (Tel: 5734583451)

✅

NPI Profile Active December 29, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 29, 2010

Registered at 1000 W 10TH ST, STE A, ROLLA, MO 65401 (Tel: 5733645633)

📍

Updated Business Mailing Address December 29, 2010

Registered at PO BOX 579, ROLLA, MO 65402 (Tel: 5734583425)

👤

Provider Name / Credentials Updated December 29, 2010

Recorded as KEITH FREDERICK, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2010

Orthopaedic Surgery (License #R4D88 in MO)

🟢

Initial NPI Registration & Enumeration August 30, 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: 1366552762

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: December 27, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1050 W 10th St

Rolla, MO 654012905

Phone: 5733649000

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.