Active NPI 1669453213 Individual Practitioner Male Practitioner

Dr. John Randall Frederick , MD

Surgery • Meadowbrook, PA

Professional Overview & Biography Verified Profile Summary

Dr. John Frederick, MD is a registered healthcare professional specializing in Surgery in Meadowbrook, PA. Practice services are available at 1650 HUNTINGDON PIKE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1650 Huntingdon Pike
Suite 154

Meadowbrook, PA 190468004

Telephone 2159383145

Fax 2159383144

Associated Practice Facility / Clinic

🏢 Hr Physician Services Facility NPI 1699775296

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Meadowbrook, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Meadowbrook, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

5.2% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	944	224	$110.73	$107.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	582	172	$76.54	$74.28
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	255	225	$136.94	$133.33
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	138	45	$240.85	$234.47
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	114	19	$74.38	$71.39
11042 Removal of skin and tissue, 20.0 sq cm or less	68	38	$136.76	$114.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	49	33	$89.01	$76.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	24	$116.29	$109.54
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	22	$140.00	$137.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$306.38	$177.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	18	$189.88	$106.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	35	$373.61	$205.71
49505 Repair of groin hernia (5 years or older)	35	34	$1116.31	$555.37
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$134.43	$96.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$199.66	$119.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$94.00	$60.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$306.38	$181.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$199.66	$121.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	14	$189.88	$94.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$373.61	$204.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	15	$94.00	$60.92
49505 Repair of groin hernia (5 years or older)	21	21	$1142.89	$582.35
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$134.43	$98.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	16	$189.88	$111.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$306.38	$178.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	29	$373.61	$218.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$94.00	$49.76
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$145.00	$82.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$199.66	$117.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	38	$370.30	$215.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$303.91	$176.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	20	$187.51	$110.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$94.00	$48.46
47562 Removal of gallbladder using an endoscope	17	17	$1408.22	$740.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$197.77	$116.28
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$134.07	$79.37
49505 Repair of groin hernia (5 years or older)	11	11	$1103.22	$558.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	26	$163.66	$106.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	42	$327.46	$208.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$277.75	$169.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	24	$78.08	$45.45
49505 Repair of groin hernia (5 years or older)	15	15	$1028.52	$578.39
47562 Removal of gallbladder using an endoscope	14	14	$1305.71	$709.79
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$124.49	$77.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$176.00	$111.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	19	$158.00	$109.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	43	$311.00	$213.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	24	$71.00	$46.37
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$120.00	$79.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$268.00	$173.59
47562 Removal of gallbladder using an endoscope	18	18	$1259.00	$705.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$176.00	$114.87

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA M.D.032063E

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

1886916-03 (PA)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Janet Krettek , DO

Surgery

NPI 1124063532

Doctor of Osteopathic Medicine (D.O.)

Dr. Leigh Gerson , DO

Colon & Rectal Surgery

NPI 1508284050

Doctor of Osteopathic Medicine (D.O.)

Dr. Patricia Leung , MD

Surgery

NPI 1760795496

Doctor of Medicine (M.D.)

Dr. Lorenz Iannarone , MD

Surgery

NPI 1942316989

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 January 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2016

Registered at 1650 HUNTINGDON PIKE, SUITE 154, MEADOWBROOK, PA 190468004 (Tel: 2159383145)

📍

Updated Business Mailing Address January 05, 2016

Registered at 1650 HUNTINGDON PIKE, SUITE 154, MEADOWBROOK, PA 190468004 (Tel: 2159383145)

👤

Provider Name / Credentials Updated January 05, 2016

Recorded as JOHN FREDERICK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2016

Surgery (License #M.D.032063E in PA)

🟢

Initial NPI Registration & Enumeration November 10, 2005

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: 1669453213

Entity Type:

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

Enumeration Date: November 10, 2005

Last Update: January 05, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1650 Huntingdon Pike, Suite 154

Meadowbrook, PA 190468004

Phone: 2159383145

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.