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

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
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: October 18, 2026.

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, is affiliated with North Shore University Hospital, 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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellie Marie Patterson Md 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 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kellie Patterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southside Faculty Medical Affiliates University Faculty Practice Corp
12 mi
Body Imaging
1220 HICKSVILLE RD
Seaford, NY 11783
  • Reassigned Medicare billing, New York enrollment
  • 391 clinicians in this Medicare group
NPI 1033791058 (516) 266-3456
North Shore - Lij Medical PC
24 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

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
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

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 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.

Where is Kellie Patterson located?

Kellie Patterson practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3290.

What is Kellie Patterson's specialty?

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

Is Kellie Patterson enrolled in Medicare?

Yes. Kellie Patterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kellie Patterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Patterson reassigns Medicare benefits to 2 organizations: Southside Faculty Medical Affiliates University Faculty Practice Corp (Seaford, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each 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 Kellie Patterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kellie Patterson affiliated with any hospitals?

According to CMS data, Kellie Patterson is affiliated with North Shore University Hospital.

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 8 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.