DR. DEBRA ANN PATT MD, MPH
NPI 1003839820
Internal Medicine - Medical Oncology in Austin, TX

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
6204 BALCONES DR, AUSTIN, TX 78731(512) 427-9400(512) 342-2723 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 16, 2021, Sep 7, 2018 (2 updates tracked since 2018).

About Dr. Debra Ann Patt Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEBRA ANN PATT MD, MPH (NPI 1003839820) is an individual medical oncology provider in Austin, Texas, licensed in Texas (L7103) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Baylor College Of Medicine (1999).

NPPES Registry Identity

NPI1003839820
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDR. DEBRA ANN PATTCredential: MD, MPH
Location Address6204 BALCONES DRAustin, TX 78731
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 437-9605
Fax(512) 342-2723
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1999
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
NPI 1003839820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in TX · L7103
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License L7103 (TX)
6204 BALCONES DR, Austin, TX 78731

Other Identifiers 10

Medicaid181448506TX
Medicaid181448510TX
Medicaid181448504TX
Medicaid181448501TX
Other8W0430TX · Bluecross Blue Shield
Medicaid181448507TX
Medicaid181448502TX
Medicaid181448508TX
Medicaid181448505TX
Medicaid181448509TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Debra Ann Patt Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537072111
PECOS Enrollment IDI20031110000518
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
153 services63 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
152 services67 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
150 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services47 patients
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 86300
This is a blood test that measures the level of CA 15-3, a protein often higher in individuals with certain types of cancer. It helps monitor response to treatment and check for cancer recurrence. It's not a standalone diagnostic test but used alongside other evaluations.
67 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.00 typical visit price
range $57.88 – $174.00
Typical copayment $43.50 (range $14.47 – $43.50)
Most-billed visit code 99205
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers33 claims1,862 services$0.69 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers18 claims18 services$17.94 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$12.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
6204 BALCONES DR
AUSTIN, TX 78731
Obstetrics & Gynecology (Gynecologic Oncology)
6204 BALCONES DR
AUSTIN, TX 78731
Internal Medicine (Hematology & Oncology)
6204 BALCONES DR
AUSTIN, TX 78731
Internal Medicine (Hematology & Oncology)
6204 BALCONES DR
AUSTIN, TX 78731
Nurse Practitioner
6204 BALCONES DR
AUSTIN, TX 78731
Obstetrics & Gynecology (Gynecologic Oncology)
6204 BALCONES DR
AUSTIN, TX 78731
Pharmacist (Oncology)
6204 BALCONES DR
AUSTIN, TX 78731
Pharmacist
6204 BALCONES DR
AUSTIN, TX 78731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003839820, enumerated as an "individual" on July 25, 2006.

The provider is located at 6204 BALCONES DR AUSTIN, TX 78731 and the phone number is (512) 427-9400.

Internal Medicine with taxonomy code 207RX0202X and a focus in Medical Oncology.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Debra Patt is affiliated with: ASCENSION SETON MEDICAL CENTER AUSTIN and ST DAVID'S MEDICAL CENTER.