Individual provider Active NPI

Jared Scott Fredrickson, MD

  • Ophthalmology Physician
  • Ashland, OR
National Provider Identifier
1902394893
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD210032 Issued in OR
Practice address
648 N Main St
Ashland, OR 97520-1710
Phone
(541) 482-8100
Fax
(541) 488-5081
NPI assigned
Apr 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD210032 OR Primary

Addresses

Primary practice location

648 N Main St
Ashland, OR 97520-1710

Mailing address

648 N Main St
Ashland, OR 97520-1710
Phone (541) 482-8100

Other practice location 1

2524 Westside Rd
Yreka, CA 96097-9129
Phone (530) 842-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220608002375 CA Practitioner - Ophthalmology 2062758071 Reassigns benefits to 1 organization
I20220608002649 OR Practitioner - Ophthalmology 2062758071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Colorado School of Medicine, Denver, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siskiyou Eye Center Medical Group IncGroup PAC ID 6103996848, 6 clinicians
Siskiyou Eye Center, Medical Group, PCGroup PAC ID 5890685911, 6 clinicians

Practice addresses (Care Compare)

2524 Westside Rd
Yreka, CA 96097-9129
Phone (530) 842-2760

648 N Main St
Ashland, OR 97520-1710
Phone (503) 482-8100

Hospital & facility affiliations

  • Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.25

Merit-based Incentive Payment System (MIPS)

Final score
94.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery448

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Siskiyou Eye Center, Medical Group, PC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Siskiyou Eye Center, Medical Group, Inc Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients

Locations

2524 Westside Rd
Yreka, CA 96097
Phone (530) 842-2760

648 N Main St
Ashland, OR 97520
Phone (503) 482-8100

Interoperability endpoints

  • Direct secure messaging: j.fredrickson@siskiyoueye.direct.eyemdemr.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1902394893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 N MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201710",
            "telephone_number": "541-482-8100",
            "fax_number": "541-488-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201710",
            "telephone_number": "541-482-8100",
            "fax_number": "541-488-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2524 Westside Rd",
            "address_purpose": "LOCATION",
            "city": "Yreka",
            "state": "CA",
            "postal_code": "960979129",
            "country_code": "US",
            "telephone_number": "530-842-2760",
            "fax_number": "530-842-5839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "JARED",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD210032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.