Active NPI 1629035225 Individual Practitioner Male Practitioner

Dr. Gary W. Fredericksen , OD

Optometrist • Williamsburg, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gary Fredericksen, OD is a certified Optometrist practicing in Williamsburg, VA. With approximately 45 years of clinical experience since graduating from New England College Of Optometry in 1981, Dr. Fredericksen delivers high-quality medical care to the local community at 120 KINGS WAY.

Dr. Fredericksen is affiliated with Riverside Physician Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 Kings Way
Suite 1300

Williamsburg, VA 231852505

Telephone 7573453001

Fax 7573453102

Associated Practice Facility / Clinic

🏢 Williamsburg Neurology, P.c. Facility NPI 1831196872

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Williamsburg, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +21.7 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 20.6 Yrs

Regional Practice Density

19 Specialists

Practicing in Williamsburg, VA (1522 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fredericksen (45 Years) 45 Yrs

Williamsburg Specialty Average (23.3 Years) 23.3 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
92014 Established patient complete exam of visual system	1,138	1,127	$231.00	$123.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	130	$93.06	$55.26
92133 Imaging of optic nerve	135	129	$90.00	$35.39
99213 Established patient office or other outpatient visit, typically 15 minutes	78	69	$145.26	$89.30
92134 Imaging of retina	55	54	$85.00	$39.76
92004 New patient complete exam of visual system	55	55	$278.00	$147.27
92083 Exam of visual field with extended testing	45	44	$142.49	$49.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	990	983	$231.00	$125.55
99213 Established patient office or other outpatient visit, typically 15 minutes	159	129	$136.00	$89.52
92133 Imaging of optic nerve	118	118	$90.00	$36.25
92134 Imaging of retina	58	57	$85.00	$40.24
92083 Exam of visual field with extended testing	56	55	$144.00	$61.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	39	$82.92	$56.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$197.00	$111.29
92004 New patient complete exam of visual system	22	22	$278.00	$149.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,015	1,006	$226.22	$127.18
99213 Established patient office or other outpatient visit, typically 15 minutes	136	119	$132.38	$91.74
92133 Imaging of optic nerve	95	94	$90.00	$37.25
92083 Exam of visual field with extended testing	77	72	$144.00	$63.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	38	$82.00	$57.30
92134 Imaging of retina	35	35	$85.00	$40.58
92250 Photography of the retina	13	13	$143.00	$34.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$197.00	$113.42
92012 Established patient problem focused exam of visual system	13	13	$151.00	$86.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,077	1,060	$206.65	$128.10
99213 Established patient office or other outpatient visit, typically 15 minutes	166	142	$124.41	$91.80
92133 Imaging of optic nerve	72	72	$90.00	$37.42
92083 Exam of visual field with extended testing	62	62	$144.00	$64.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	47	$74.93	$57.19
92004 New patient complete exam of visual system	31	31	$248.00	$153.39
92134 Imaging of retina	22	22	$74.50	$41.63
92012 Established patient problem focused exam of visual system	16	16	$151.00	$91.45
92250 Photography of the retina	16	16	$129.00	$38.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$192.00	$114.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	825	806	$205.00	$128.21
92012 Established patient problem focused exam of visual system	74	73	$139.81	$89.36
99213 Established patient office or other outpatient visit, typically 15 minutes	58	52	$117.00	$75.64
92004 New patient complete exam of visual system	47	47	$248.00	$152.87
92133 Imaging of optic nerve	40	40	$90.00	$37.16
92083 Exam of visual field with extended testing	36	33	$144.00	$63.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$70.00	$45.71
92134 Imaging of retina	12	12	$74.00	$41.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	614	608	$203.53	$126.81
92004 New patient complete exam of visual system	143	143	$246.08	$151.58
99213 Established patient office or other outpatient visit, typically 15 minutes	76	70	$110.00	$73.82
92012 Established patient problem focused exam of visual system	68	68	$133.00	$87.79
92133 Imaging of optic nerve	40	40	$90.00	$36.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$70.00	$45.10
92083 Exam of visual field with extended testing	31	31	$144.00	$64.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	551	542	$193.00	$121.55
92004 New patient complete exam of visual system	85	85	$237.00	$144.54
99213 Established patient office or other outpatient visit, typically 15 minutes	79	76	$110.00	$70.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$70.00	$42.24
92012 Established patient problem focused exam of visual system	41	41	$133.00	$84.49
92083 Exam of visual field with extended testing	22	21	$144.00	$61.95
92133 Imaging of optic nerve	11	11	$90.00	$36.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$173.00	$98.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	591	585	$193.00	$121.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	86	$70.00	$42.23
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$110.00	$71.65
92004 New patient complete exam of visual system	21	21	$237.00	$147.38
92083 Exam of visual field with extended testing	19	19	$144.00	$63.65
92012 Established patient problem focused exam of visual system	19	18	$133.00	$84.27
92133 Imaging of optic nerve	12	11	$90.00	$36.66

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618000905

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Riverside Physician Services Inc

120 Kings Way, Williamsburg, VA 231852508

Phone: 7573451001

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Leana Long , MD

Ophthalmology

NPI 1104893528

Doctor of Medicine (M.D.)

Dr. Robert Cullom , MD

Ophthalmology

NPI 1467439042

Doctor of Medicine (M.D.)

Dr. Anthony Farah , MD

Ophthalmology

NPI 1659692960

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 November 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 27, 2013

Registered at 120 KINGS WAY, SUITE 1300, WILLIAMSBURG, VA 231852505 (Tel: 7573453001)

📍

Updated Business Mailing Address November 27, 2013

Registered at 856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 236011318

👤

Provider Name / Credentials Updated November 27, 2013

Recorded as GARY FREDERICKSEN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2013

Optometrist (License #0618000905 in VA)

🟢

Initial NPI Registration & Enumeration April 27, 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: 1629035225

Entity Type:

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

Enumeration Date: April 27, 2006

Last Update: November 27, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

856 J Clyde Morris Blvd, Suite A

Newport News, VA 236011318

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.