Kim Ann Fredericksen
NPI 1528103843ActiveIndividual· Emergency Medicine· Thornton, CO
Emergency Medicine in Thornton, Colorado, trained at University of Maryland School of Medicine (class of 2005). 183 Medicare patients in 2024, $19,038 paid; nearly all of their 257 Part D prescriptions were generic (95%).
Overview
| NPI | 1528103843 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 21, 2007 |
| Last updated in NPPES | Jun 25, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | DR.0046734 | CO |
| Emergency Medicine | 207P00000X | T4918 | MD |
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 - Emergency Medicine (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 183 |
|---|---|
| Services billed | 202 across 19 procedure codes |
| Paid by Medicare | $19,038 |
Part D prescriptions in 2024
| Prescriptions (claims) | 257 · 264 30-day fills |
|---|---|
| Patients | 168 |
| Total drug cost | $5,013 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Maryland School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Emergency Medicine |
Medical group
- University of Florida Jacksonville Physicians, Inc.Jacksonville, FL · 910 clinicians
Hospital affiliation
- Shands JacksonvilleJacksonville, FL
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 33 emergency medicine physicians in Thornton · All emergency medicine physicians in Colorado