Alex Thomas Fredrickson, MD

NPI 1417691056ActiveIndividual· Family Medicine· White Bear Lake, MN

Family Medicine (MD) in White Bear Lake, Minnesota, trained at University of Minnesota Medical School (class of 2022). Part D covered 293 prescriptions written in 2024, 80% of them generic.

Overview

NPI	1417691056
Status	Active
Entity type	Individual
Credential	MD
Sole proprietor	No
NPI issued	Apr 20, 2022
Last updated in NPPES	Sep 23, 2025
Certified by provider	Sep 23, 2025

Specialties and licenses

Taxonomy	Code	License	State
Family Medicine Primary	207Q00000X	77098	MN

About license numbers in NPPES

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 - Family Practice (MN)

Part D prescriptions in 2024

Prescriptions (claims)	293 · 523 30-day fills
Patients	49
Total drug cost	$24,281
Generic share	80% of claims

Medicare sources and data years

Education and affiliations

Medical school	University of Minnesota Medical School
Graduation year	2022
Medicare specialty	Family Practice
Telehealth	Offers telehealth

Medical group

Group Health IncBloomington, MN · 1,638 clinicians

Hospital affiliation

Regions HospitalSaint Paul, MN

Source: CMS Care Compare

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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All Family Medicine providers in Minnesota →