Kim S. Frederickson, MD
NPI 1003995291ActiveIndividual· Dermatology· Novato, CA
Dermatology (MD) in Novato, California, trained at University of California, Davis School of Medicine (class of 1993). 783 Medicare patients in 2024, $364,184 paid; nearly all of their 834 Part D prescriptions were generic (98%). Revance Therapeutics, Inc. reported $17.50 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1003995291 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 6, 2006 |
| Last updated in NPPES | Oct 10, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | G79619 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 783 |
|---|---|
| Services billed | 5,644 across 67 procedure codes |
| Paid by Medicare | $364,184 |
Part D prescriptions in 2024
| Prescriptions (claims) | 834 · 952 30-day fills |
|---|---|
| Patients | 337 |
| Total drug cost | $40,904 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of California, Davis School of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Dermatology |
Medical group
- Novato Dermatology Associates A Medical CorporationNovato, CA · 2 clinicians
Hospital affiliation
- Novato Community HospitalNovato, CA
Industry payments (Open Payments)
- 2025$17.50 · 1 payment from 1 company
- 2024$13.77 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $17.50 | 1 |
What the 2025 payments were for
- Food and Beverage$17.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dermatology providers in Novato
- 1003960063
- 1053318824