Logan Clay Frederickson, DO
NPI 1609215573ActiveIndividual· Family Medicine· Baker City, OR
Family Medicine (DO) in Baker City, Oregon, licensed in OR, with an NPI issued in June 2013. Their prescriptions cost Medicare Part D more than their services did: $526,578 for 7,716 claims, against $218,827 paid for services in 2024. Dexcom, Inc. reported $17.86 in payments in 2024, mostly food and beverage. Lists Grande Ronde Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1609215573 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 24, 2013 |
| Last updated in NPPES | Feb 1, 2024 |
| Certified by provider | Feb 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | DO176820 | OR |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 486 |
|---|---|
| Services billed | 4,367 across 50 procedure codes |
| Paid by Medicare | $218,827 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,716 · 16,756 30-day fills |
|---|---|
| Patients | 464 |
| Total drug cost | $526,578 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Family Practice |
Hospital affiliations
- Grande Ronde HospitalLa Grande, OR
- Saint Alphonsus Medical Center OntarioOntario, OR
- Saint Alphonsus Regional Medical CenterBoise, ID
- St Luke's Regional Medical CenterBoise, ID
- St. Alphonsus Medical Center - Baker CityBaker City, OR
Other facilities
- Enhabit Home HealthHome health agency · La Grande, OR
Industry payments (Open Payments)
- 2024$17.86 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dexcom, Inc. | $17.86 | 1 |
What the 2024 payments were for
- Food and Beverage$17.86 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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