Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225108657 Individual Practitioner Female Practitioner

Dr. O'ann Karin Fredstrom , MD

Specialist • Jackson, WY

Professional Overview & Biography Verified Profile Summary

Dr. O'Ann Fredstrom, MD is a registered healthcare professional specializing in Specialist in Jackson, WY. Practice services are available at 610 WEST BROADWAY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, prolonged office or other outpatient service first hour. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

610 West Broadway
Suite L02

Jackson, WY 83001

Telephone 3077348800
Fax 3077348900

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jackson, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Jackson, WY (61 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.5% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
68 23 $134.71 $71.67
99354 Prolonged office or other outpatient service first hour
64 21 $100.00 $98.47

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WY 5032A

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
113880400 (WY)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1407926835

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 610 WEST BROADWAY, SUITE L02, JACKSON, WY 83001 (Tel: 3077348800)

📍
Updated Business Mailing Address July 08, 2007

Registered at P O BOX 15540, JACKSON, WY 83002 (Tel: 3077348800)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as O'ANN FREDSTROM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #5032A in WY)

🟢
Initial NPI Registration & Enumeration November 09, 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: 1225108657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

P O Box 15540

Jackson, WY 83002

Phone: 3077348800

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.