DR. PATRICK JOSEPH PADILLA M.D.
NPI 1225041676
Orthopaedic Surgery in Encinitas, CA

Q: What is Patrick Padilla's NPI number?

The NPI number for Patrick Padilla is 1225041676. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Patrick Padilla's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Padilla was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 15, 2006PECOS Enrolled

52.12/100

CMS Quality Rating

351 SANTA FE DR, SUITE #100, ENCINITAS, CA 92024(760) 633-3130(760) 633-3546 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Patrick Joseph Padilla M.d. NPPES

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

DR. PATRICK JOSEPH PADILLA M.D. (NPI 1225041676) is an individual orthopaedic surgery provider in Encinitas, California, licensed in California (G79160) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225041676

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. PATRICK JOSEPH PADILLACredential: M.D.

Location Address351 SANTA FE DR, SUITE #100Encinitas, CA 92024-5137

Mailing Address351 Santa Fe Dr, Suite 100Encinitas, CA 92024-5137 · (760) 633-3130 · Fax (760) 633-3546

Phone(760) 633-3130

Fax(760) 633-3546

Sole ProprietorYes

Enumeration DateAugust 15, 2006

Last NPPES UpdateMarch 29, 2011

✔ NPI 1225041676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in CA · G79160

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

351 SANTA FE DR, Encinitas, CA 92024

Open in Google Maps ↗

Other Identifiers 4

Other1315870001CA · Dmepos

Medicaid00G791600CA

Medicare PING79160CA

Other00G791600CA · Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick Joseph Padilla M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Patrick Padilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-City Orthopaedic Surgery Medical Group Inc

10 mi

Orthopaedic Surgery

3905 WARING RD
Oceanside, CA 92056

Reassigned Medicare billing, California enrollment
30 clinicians in this Medicare group

NPI 1861451445 (760) 724-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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

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.

133 services94 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

66 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

62 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

58 services58 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

55 services48 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

37 services35 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

34 services18 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

24 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

19 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services12 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

12 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

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.

52.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.9

Promoting Interoperability

Improvement Activities

Cost

Other Providers at the Same Location NPPES 10

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

COASTAL SURGEONS

Specialist

351 SANTA FE DR, SUITE 220
ENCINITAS, CA 92024

San Diego County (760) 634-2411

PACIFIC ORTHOPAEDICS & SPORTS MEDICINE

Orthopaedic Surgery

351 SANTA FE DR, SUITE 100
ENCINITAS, CA 92024

San Diego County (760) 633-3130

PERRY W, SEXTON, MD PROFESSIONAL CORPORATION

Family Medicine

351 SANTA FE DR, SUITE 101
ENCINITAS, CA 92024

San Diego County (760) 274-1385

PATRICK J. PADILLA, M.D. INC.

Orthopaedic Surgery

351 SANTA FE DR, SUITE #100
ENCINITAS, CA 92024

San Diego County (760) 633-3130

DR. MARICELA M. SIMMONS DDS

Dentist (General Practice)

351 SANTA FE DR, STE # 230
ENCINITAS, CA 92024

San Diego County (760) 634-0500

MR. ARA MIRZAIAN CO

Orthotist

351 SANTA FE DR, SUITE 240
ENCINITAS, CA 92024

San Diego County (760) 479-1866

MR. RYAN CHRISTIAN ANDERSON OT C

Orthopaedic Surgery

351 SANTA FE DR, SUITE 100
ENCINITAS, CA 92024

San Diego County (760) 633-3130

SARAH BREZDEN KANAAN LMFT

Marriage & Family Therapist

351 SANTA FE DR
ENCINITAS, CA 92024

San Diego County (858) 279-1223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Padilla's NPI number?

The NPI number for Patrick Padilla is 1225041676. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Patrick Padilla located?

Patrick Padilla practices at 351 Santa Fe Dr Suite #100, Encinitas, CA 92024. The listed phone number is (760) 633-3130.

What is Patrick Padilla's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Patrick Padilla enrolled in Medicare?

Yes. Patrick Padilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patrick Padilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Padilla reassigns Medicare benefits to Tri-City Orthopaedic Surgery Medical Group Inc (Oceanside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Padilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patrick Padilla was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.