Tiffany Ann Frederickson
NPI 1265669956ActiveIndividual· Surgery· Rapid City, SD
Surgery with The Aroostook Medical Center, practicing in Rapid City, South Dakota. 209 Medicare patients in 2024, $49,307 paid; nearly all of their 256 Part D prescriptions were generic (91%). Lists Northern Light A R Gould Hospital as a hospital affiliation.
Overview
| NPI | 1265669956 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 19, 2009 |
| Last updated in NPPES | Sep 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 9138 | SD |
| Surgery | 208600000X | R-8763 | IA |
| Surgery | 208600000X | TD151001 | ME |
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 - General Surgery (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 209 |
|---|---|
| Services billed | 455 across 97 procedure codes |
| Paid by Medicare | $49,307 |
Part D prescriptions in 2024
| Prescriptions (claims) | 256 · 393 30-day fills |
|---|---|
| Patients | 124 |
| Total drug cost | $3,686 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- The Aroostook Medical CenterPresque Isle, ME · 104 clinicians
Hospital affiliation
- Northern Light A R Gould HospitalPresque Isle, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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