Doctor profile · Federal record

Dr. Tiffany Frederickson

Surgery Physician (CMS: General Surgery) · Surgery Physician · Surgery Physician · Rapid City, SD

  • NPI 1265669956
  • Accepts Medicare
  • 17 yrs in practice
  • Licensed in 3 states
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
8412 Kitt Peak RD
Rapid City, SD 577029512
(515) 201-8982

Credentials & registration

NPPES · NUCC
NPI registered
June 2009 — 17 yrs on file
Profile last updated
September 15, 2015
Year of graduation
2009 — 17 yrs since
Specialty taxonomy
208600000X — NUCC code
State licenses (3)
South Dakota #9138 · Iowa #R-8763 · Maine #TD151001

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1265669956. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
287
Distinct HCPCS
8
Medicare allowed
$26,846
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 73 59 $62
99212 Established patient office or other outpatient visit, 10-19 minutes 51 43 $33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 40 39 $94
45380 Biopsy of large bowel using a flexible endoscope 39 39 $124
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare 35 35 $234
99203 New patient office or other outpatient visit, 30-44 minutes 25 25 $78
91110 Imaging of digestive tract done from the inside of the digestive tract 13 12 $104
99202 New patient office or other outpatient visit, 15-29 minutes 11 11 $45

In context: peer comparison

Among 4 peers in this city , average services per provider: 66. This provider delivers 4.3× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
185
Patients
89
Total drug cost
$3,283
Drug Type Claims Patients Total cost
Pantoprazole Sodium Generic 68 23 $1,969
Sucralfate Generic 53 23 $966
Famotidine Generic 20 0 $153
Ondansetron Hcl Generic 16 15 $100
Tramadol Hcl Generic 15 15 $27
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 13 13 $68

Frequently asked questions

Auto-generated from federal data
What is Dr. Tiffany Frederickson's medical specialty?
Dr. Tiffany Frederickson practices Surgery Physician in Rapid City, SD.
Where does Dr. Tiffany Frederickson practice?
Dr. Tiffany Frederickson practices at 8412 Kitt Peak RD, Rapid City, SD 577029512. Office phone: 5152018982.
What is Dr. Tiffany Frederickson's NPI?
Dr. Tiffany Frederickson's National Provider Identifier (NPI) is 1265669956, issued by NPPES.
Does Dr. Tiffany Frederickson accept Medicare assignment?
Yes. Dr. Tiffany Frederickson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tiffany Frederickson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99212); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239). Source: CMS Medicare Physician & Other Practitioners file.