Michael Fredericson, MD
NPI 1760538110ActiveIndividual· Physical Medicine & Rehabilitation· Palo Alto, CA
Physical Medicine & Rehabilitation (MD) in Palo Alto, California, trained at New York Medical College (class of 1988). Medicare paid $25,900 for services to 172 patients in 2024. Ipsen Pharma Sas reported $750.00 in payments in 2025, mostly consulting fees.
Overview
| NPI | 1760538110 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 26, 2007 |
| Last updated in NPPES | May 6, 2024 |
| Certified by provider | May 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | G67096 | CA |
| Physical Medicine & Rehabilitation, Sports Medicine | 2081S0010X | G67096 | CA |
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 - Orthopedic Surgery (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 172 |
|---|---|
| Services billed | 358 across 16 procedure codes |
| Paid by Medicare | $25,900 |
Education and affiliations
| Medical school | New York Medical College |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Orthopedic Surgery |
| Telehealth | Offers telehealth |
Medical group
- Stanford Health CareStanford, CA · 3,122 clinicians
Hospital affiliation
- Stanford Health CareStanford, CA
Industry payments (Open Payments)
- 2025$750.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ipsen Pharma Sas | $750.00 | 1 |
What the 2025 payments were for
- Consulting Fee$750.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All Physical Medicine & Rehabilitation providers in California →