NPPES file of Aug 9, 2026

Kim S. Frederickson, MD

Dermatology Physician · Novato, CA

Kim S. Frederickson, MD is a dermatology physician with a practice address in Novato, California, and NPI 1003995291, issued on Nov 6, 2006. Check the license (California G79619, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1003995291
Name
Kim S. Frederickson
Credential
MD
Primary taxonomy
Dermatology Physician 207N00000X
License number
G79619 CA
Self-reported in NPPES; status is on the state search
Practice location
400 Professional Center Drive, Novato, CA 94947
Phone
(415) 892-0754
Enumerated
Nov 6, 2006
Record last updated
Oct 10, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(415) 897-3204
Medicare enrollment
Enrolled (PECOS I20040826000592); accepts Medicare assignment
Medical or professional school
University Of California, Davis School Of Medicine, 1993
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Kim S. Frederickson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license G79619
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

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5% more Medicare Part D claims than the average dermatology physician in 2024

834 Medicare Part D claims for 337 beneficiaries, against an average of 797 among the 12,802 providers of this specialty who prescribed in Part D. Brand-name drugs were 2% of claims.

  1. Kim Frederickson834
  2. Specialty average797

Most prescribed

  1. Ketoconazole132 claims
  2. Triamcinolone Acetonide62 claims
  3. Mupirocin54 claims
  4. Clobetasol Propionate45 claims
  5. Ciclopirox43 claims
  6. Fluocinonide43 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 98.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score95.4
  2. Costout of 100 · 30%100.0
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $13.77

1 payment: food and beverage; the largest payer was Boehringer Ingelheim Pharmaceuticals, Inc. The 10,250 providers of this specialty with any payment received $8,544.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kim Frederickson$13.77
  2. Specialty average$8,544.61

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Novato Dermatology Associates A Medical CorporationNovato, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kim S. Frederickson among 2,083 dermatology physician records in California

Kim S. Frederickson, MD is one of 2,083 dermatology physician records with a practice address in California. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 56% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 70% of these records are
  • Graduated1993 · median 2006 among the 1,450 with a school on file
  • Record last updated2008 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Dermatology Physician providers in California

There are 2,083 dermatology physician records in California.

The 8 dermatology physician records with the nearest ZIP codes

  1. Stephen Dalton, M.D.Novato, CA 949471053318824
  2. Haydee Knott, MDMill Valley, CA 949411285808691
  3. David Laub, M.D.Mill Valley, CA 949411013187764
  4. Stefan Lowenstein, MDMill Valley, CA 949411245728807
  5. Lewis Tanenbaum, MDMill Valley, CA 949411083607808
  6. Sarvenaz Zand, M.D.Mill Valley, CA 949411235216607
  7. Anne Zhuang, M.D.Mill Valley, CA 949411710277926
  8. Carla Fisher, M.D.Petaluma, CA 949541215934096

Common questions

What is Kim S. Frederickson, MD's NPI number?

Kim S. Frederickson, MD's National Provider Identifier (NPI) is 1003995291, issued on Nov 6, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kim S. Frederickson, MD located?

The NPPES record lists a practice address at 400 Professional Center Drive, Novato, CA, 94947. Phone: (415) 892-0754. Providers update this record themselves, so call before visiting.

How can I verify Kim S. Frederickson, MD's license?

NPPES lists California license number G79619, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kim S. Frederickson, MD prescribe under Medicare Part D?

In 2024, Kim S. Frederickson, MD had 834 Medicare Part D claims for 337 beneficiaries; the average among dermatology physician prescribers was 797. Part D covers Medicare prescriptions only.

What is Kim S. Frederickson, MD's MIPS final score?

The 2023 MIPS final score is 98.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.