Kim Frederickson, MD
NPI 1003995291 · Dermatology Physician · Novato, CA
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kim Frederickson, MD is a Dermatology Physician provider in Novato, CA (NPI 1003995291).
Provider details
- NPI number
- 1003995291
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- G79619 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,458 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 1,700 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 644 | $159 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 604 | $113 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 577 | $63 |
| Destruction of Skin Growth, 1-14 Growths17110 | 572 | $152 |
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 132 | 69 |
| Triamcinolone Acetonide | 62 | 48 |
| Mupirocin | 54 | 45 |
| Clobetasol Propionate | 45 | 30 |
| Fluocinonide | 43 | 28 |
| Ciclopirox Olaminebrand: Ciclopirox | 43 | 28 |
| Metronidazole | 41 | 19 |
| Imiquimod | 37 | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$14 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2008-10-10
Frequently asked questions
- What is Kim Frederickson's NPI number?
- Kim Frederickson's National Provider Identifier (NPI) is 1003995291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Frederickson's specialty?
- Kim Frederickson is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Kim Frederickson located?
- Kim Frederickson's practice location on file with NPPES is 400 Professional Center Drive, Novato, CA 94947.
- What is Kim Frederickson's phone number?
- The practice phone number listed in the NPPES registry for Kim Frederickson is (415) 892-0754.
- Does Kim Frederickson accept Medicare?
- Kim Frederickson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kim Frederickson's NPI active?
- Yes — Kim Frederickson's NPI (1003995291) is active in the NPPES registry as of the last update on 2008-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.