Fredericktown is a city in and the county seat of Madison County, Missouri, United States, in the northeastern foothills of the St. Francois Mountains. The population was 4,429 at the 2020 census, up from 3,985 in 2010. The city is surrounded on three sides (east, west, and south) by the easternmost parcel of the Mark Twain National Forest.

Official town website ↗

From Wikipedia, licensed CC BY-SA 4.0 · facts via Wikidata (CC0)

How Fredericktown ranks

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#34Shortest commute in MO #46Fastest growing in MO #67Most affordable in MO All MO rankings →

Town numbers

ZIP code63645

Area code573

Living in Fredericktown

Housing in Fredericktown

$180K▲ 4.6% in a year Typical home value · Zillow

The typical Fredericktown home is worth about $180,000, up 4.6% in a year, 33% below the Missouri typical home.

Zillow Home Value Index · Redfin Data CenterHousing market →

Safety in Fredericktown

C⁺

Safety Grade C+

Fredericktown reports more crime per resident than most U.S. towns we grade: about 64% report less.

Violent crime per 1,000

Fredericktown 0.6

Missouri 4.3

U.S. 3.3

Property crime per 1,000

Fredericktown 16.9

Missouri 16.9

U.S. 15.5

FBI crime data, 2025 · crimes reported to policeCrime & safety →

Work & commute in Fredericktown

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About one in 4 of Fredericktown’s working residents works in town. The top destinations are Farmington (11%), Cape Girardeau (4%) and Perryville (3%). Half commute less than 19 miles.

Farmington

11%

Cape Girardeau

Perryville

St. Louis

27%Work in townlive and work in Fredericktown 19 miWhere do people commute?the commute map 2,246Jobs based herebalanced

Census LEHD 2023 · ACSWork & commute in Fredericktown →

Health in Fredericktown

C⁻

Health Grade C−

Healthier than 18% of U.S. towns on seven CDC estimates, and 46% of towns with similar incomes.

Compared with Missouri

6worse than MO

of 32 measures CDC estimates. The other 26 are too close to call.

Conditions 4▼ 8 close Habits 1▼ 3 close Care all close Mind 1▼ 4 close Everyday needs all close

BetterToo close to callWorse

What stands out

10.1%More adults with COPDMO 8% · worse 19.4%More older adults who have lost all their teethMO 15.8% · worse 19.4%More smokersMO 16% · worse

Care nearby

Madison Medical CenterFredericktown · 0.2 mi · ER · rural critical access

Great Mines Health CenterFarmington · 17.4 mi · sliding-scale fees

Primary careShortage · county-wide

DentalShortage · county-wide

Mental healthShortage · county-wide

CDC PLACES 2025 · modeled estimates for adults · CDC's estimate for Fredericktown · CMS · HRSAHealth in Fredericktown →

Natural hazards in Fredericktown

Very high

Expected storm and flood damage is higher than in 87% of U.S. communities.

🌊 Inland flooding🏚️ Earthquakes🥶 Cold waves

119Does Fredericktown flood?paid flood claims since 1981 7Disasters that paid out herefederal disasters sent FEMA money to Fredericktown

FEMA National Risk Index December 2025 · OpenFEMANatural hazards in Fredericktown →

Climate in Fredericktown

Full climate →

Fredericktown has chilly winters and warm summers. A typical July afternoon reaches 88°, a January night drops to 22°, and about 9 inches of snow falls in a normal winter.

45° / 25°Winter

67° / 43°Spring

87° / 64°Summer

69° / 44°Fall

How much snow does Fredericktown get?About 9 inches a winter.Rain & snow →When is the first frost?Around Oct 16, with the last in spring around Apr 21.Frost dates →Is it warmer than it used to be?+0.3° vs. the 20th century.Then & now →

NOAA U.S. Climate Normals, 1991–2020Climate in Fredericktown →

Schools in Fredericktown

All Fredericktown schools →

C⁺

School Grade C+

The public schools Fredericktown’s kids attend, from kindergarten through graduation, trail 57% of Missouri’s districts on state tests and graduation. Among towns with similar incomes, they sit near the middle.

See how Fredericktown’s schools compare in MO →

DistrictFREDERICKTOWN R-ISchools4

Fredericktown Elem.Elementary · Grades PK–2 · 446 students Fredericktown Intermediate B+Elementary · Grades 3–5 · 393 students Kelly A Burlison Middle School C+Middle · Grades 6–8 · 433 students Fredericktown High B-High · Grades 9–12 · 611 students

School data from the U.S. Department of Education (NCES, EDFacts). The School Grade is our own summary of state test results and graduation rates, graded within MO. Ratings are from neighbors.