Charles Fredericks, M.D.
NPI 1952747628ActiveIndividual· Surgery· Sacramento, CA
Surgery (M.D.) in Sacramento, California, trained at Rutgers New Jersey Medical School (class of 2013). Medicare paid $18,485 for services to 105 patients in 2024.
Overview
| NPI | 1952747628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 21, 2013 |
| Last updated in NPPES | Jun 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | A161492 | CA |
| Surgery | 208600000X | 125-063161 | IL |
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 - General Surgery (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 105 |
|---|---|
| Services billed | 202 across 23 procedure codes |
| Paid by Medicare | $18,485 |
Education and affiliations
| Medical school | Rutgers New Jersey Medical School |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | General Surgery |
Medical group
- San Joaquin Faculty Medical GroupFrench Camp, CA · 128 clinicians
Hospital affiliations
- Adventist Health Lodi MemorialLodi, CA
- San Joaquin General HospitalFrench Camp, CA
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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