Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter Daniel Fredericks, MD

Individual provider Orthopaedic Surgery Physician · NPI 1003010919

Dr. Peter Daniel Fredericks, MD is an Orthopedic Surgery in Colorado Springs, Colorado. Graduated from University of Arizona College of Medicine in 2007, 19 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
19
Trained at
University of Arizona College of Medicine
Licensed in
CO
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

175 S Union Blvd Ste 300
Colorado Springs, CO 80910-3126
Phone: (719) 365-1950
Fax: (719) 365-1951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence FF3091573 (CO)

Record details

NPI number1003010919
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2007
Last updated in NPPESMay 6, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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