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DR. PAUL MICHAEL PATTERSON D.N.P.
NPI 1285639617
Nurse Practitioner - Family in La Plata, MD

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
115A LA GRANGE AVE, SUITE 101, LA PLATA, MD 20646(301) 392-1935(301) 392-1936 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2024, Nov 18, 2024, Aug 27, 2023 (3 updates tracked since 2023).

About Dr. Paul Michael Patterson D.n.p. NPPES

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

DR. PAUL MICHAEL PATTERSON D.N.P. (NPI 1285639617) is an individual family provider in La Plata, Maryland, licensed in Maryland (R148876) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1285639617
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. PAUL MICHAEL PATTERSONCredential: D.N.P.
Location Address115A LA GRANGE AVE, SUITE 101La Plata, MD 20646-9597
Mailing Address115a La Grange Ave, Suite 101La Plata, MD 20646-9597 · (301) 392-1935 · Fax (301) 392-1936
Phone(301) 392-1935
Fax(301) 392-1936
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 13, 2005
Last NPPES UpdateDecember 12, 20243 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1285639617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R148876
115A LA GRANGE AVE, La Plata, MD 20646
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

Dr. Paul Michael Patterson D.n.p. 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 ID446202105
PECOS Enrollment IDI20050210000924
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 Paul Patterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

P. Michael Patterson
Same address
Nurse Practitioner
115 LA GRANGE AVE, SUITE 101
La Plata, MD 20646
  • Reassigned Medicare billing, Maryland enrollment
  • 3 clinicians in this Medicare group
NPI 1649419102 (301) 392-1935

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 10

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.
940 services260 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.
62 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 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.
37 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services32 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
31 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20646 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers19 claims51 services$4.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Paul Patterson's NPI number?

The NPI number for Paul Patterson is 1285639617. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Paul Patterson located?

Paul Patterson practices at 115A La Grange Ave Suite 101, La Plata, MD 20646. The listed phone number is (301) 392-1935.

What is Paul Patterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Paul Patterson enrolled in Medicare?

Yes. Paul 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 organization bills Medicare for Paul Patterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Patterson reassigns Medicare benefits to P. Michael Patterson (La Plata, MD). 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 Paul Patterson'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 Paul Patterson was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.