Dexter M. Frederick, M.D
NPI 1366490690ActiveIndividual· Pediatrics· Tampa, FL
Pediatrics (M.D) with Faculty Physicians and Surgeons of Llusm, practicing in Tampa, Florida. Part D covered 72 prescriptions written in 2024, 83% of them generic.
Overview
| NPI | 1366490690 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | Sep 14, 2026 |
| Certified by provider | Sep 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | A67590 | CA |
| Internal Medicine | 207R00000X | 85120 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (CA); Practitioner - Internal Medicine (FL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 72 · 115 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $8,719 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Pediatric Medicine |
Medical group
- Faculty Physicians and Surgeons of LlusmLoma Linda, CA · 1,315 clinicians
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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