Individual provider Active NPI

Clarence L Freed, MD

  • Plastic Surgery Physician
  • Telford, PA
National Provider Identifier
1487654968
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD015219E Issued in PA
Practice address
112 School Lane
Attn Clarence L Freed MD PC
Telford, PA 18969
Phone
(215) 721-6010
Fax
(215) 721-6040
NPI assigned
Jul 27, 2005
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD015219E PA Primary

Addresses

Primary practice location

112 School Lane
Attn Clarence L Freed MD PC
Telford, PA 18969

Mailing address

112 School Lane
Attn Clarence L Freed MD PC
Telford, PA 18969
Phone (215) 721-6010

Other practice location 1

38 Keystone Court
Leola, PA 17540-2207
Phone (717) 869-0919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070530000423 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Dermatology 5294833182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
77.8
Promoting interoperability
80
Improvement activities
40
Cost
93.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allan Mineroff, MD, PC CurrentSince Jan 10, 2025 Accepting new patients
Derm DX Centers for Dermatology, Inc. Past Accepting new patients

Locations

1709 N Broad St
Lansdale, PA 19446
Phone (215) 362-2355

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1487654968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SCHOOL LANE",
            "address_2": "ATTN CLARENCE L FREED MD PC",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "18969",
            "telephone_number": "215-721-6010",
            "fax_number": "215-721-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SCHOOL LANE",
            "address_2": "ATTN CLARENCE L FREED MD PC",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "18969",
            "telephone_number": "215-721-6010",
            "fax_number": "215-721-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Keystone Court",
            "address_purpose": "LOCATION",
            "city": "Leola",
            "state": "PA",
            "postal_code": "175402207",
            "country_code": "US",
            "telephone_number": "717-869-0919",
            "fax_number": "717-869-0929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREED",
        "first_name": "CLARENCE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD015219E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telford, PA

Sources for this page

Verify at the official NPI Registry.