KELLIE MARIE PATTERSON MD
NPI 1285261255
Radiology - Diagnostic Radiology in Bay Shore, NY

Q: What is Kellie Patterson's NPI number?

The NPI number for Kellie Patterson is 1285261255. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Kellie Patterson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Patterson was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 March 26, 2020PECOS Enrolled

301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3290(631) 968-3186 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kellie Marie Patterson Md NPPES

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

KELLIE MARIE PATTERSON MD (NPI 1285261255) is an individual diagnostic radiology provider in Bay Shore, New York, licensed in New York (335448) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Hofstra North Shore - Lij School Of Medicine (2020).

NPPES Registry Identity

NPI1285261255

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameKELLIE MARIE PATTERSONCredential: MD

Location Address301 E MAIN STBay Shore, NY 11706-8408

Mailing Address178 Frame StFranklin Square, NY 11010-4210 · (516) 850-6122

Phone(631) 968-3290

Fax(631) 968-3186

Sole ProprietorNo

Medical School CMSHofstra North Shore - Lij School Of MedicineGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateFebruary 12, 2026

NPPES CertifiedFebruary 12, 2026

✔ NPI 1285261255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NY · 335448

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

301 E MAIN ST, Bay Shore, NY 11706

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Marie Patterson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820567829

PECOS Enrollment IDI20260519004072

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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.

DR. EHAB SABRY HANNA M.D.

Hospitalist