JERRY W. PATTERSON, D.P.M, P.A.
NPI 1326308305
Podiatrist - Foot Surgery in San Antonio, TX
About Jerry W. Patterson, D.p.m, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY W. PATTERSON, D.P.M, P.A. (NPI 1326308305) is a healthcare organization registered as a foot surgery in San Antonio, Texas and active in the NPI registry since May 2012. The organization lists Elizabeth Ardoin, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerry W. Patterson, D.p.m, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jerry W. Patterson, D.P.M, P.A., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jerry W. Patterson, D.P.M, P.A.'s NPI number?
The NPI number for Jerry W. Patterson, D.P.M, P.A. is 1326308305. It was assigned to this organization in the NPPES registry on May 23, 2012.
Where is Jerry W. Patterson, D.P.M, P.A. located?
Jerry W. Patterson, D.P.M, P.A. is located at 423 Treeline Park Suite 315, San Antonio, TX 78209. The listed phone number is (210) 614-9610.
What is Jerry W. Patterson, D.P.M, P.A.'s specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Jerry W. Patterson, D.P.M, P.A. enrolled in Medicare?
Yes. Jerry W. Patterson, D.P.M, P.A. is registered in the Medicare PECOS enrollment system.
When is Jerry W. Patterson, D.P.M, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jerry W. Patterson, D.P.M, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Jerry W. Patterson, D.P.M, P.A.. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jerry W. Patterson, D.P.M, P.A. was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jerry W. Patterson, D.p.m, P.a. · NPI 1326308305
Foot Surgery organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since May 23, 2012.
## Identity
- **NPI:** 1326308305 (Entity type: Organization)
- **Enumerated:** May 23, 2012
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Ardoin, BILLING MANAGER
## Practice location
- **Address:** 423 TREELINE PARK, SUITE 315, San Antonio, TX 78209-2060
- **Phone:** (210) 614-9610 · **Fax:** (210) 614-9613
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2012
- **Other identifiers:** Medicare PIN 00N026 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1326308305) · Data from the CMS NPPES public registry.