PATRICIA KELLEY DEFOREST DO
NPI 1386030526
Pediatrics in San Antonio, TX

Q: What is Patricia Deforest's NPI number?

The NPI number for Patricia Deforest is 1386030526. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Q: What is Patricia Deforest's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Deforest was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 14, 2015PECOS Enrolled

89.92/100

CMS Quality Rating

5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229(210) 541-8281(210) 541-9123 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Dec 1, 2025, May 16, 2024 and 4 more (7 updates tracked since 2016).

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About Patricia Kelley Deforest Do NPPES

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

PATRICIA KELLEY DEFOREST DO (NPI 1386030526) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (R7197) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386030526

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NamePATRICIA KELLEY DEFORESTCredential: DO

Location Address5430 FREDERICKSBURG RD STE 508San Antonio, TX 78229-3561

Mailing Address2020 Babcock RdSan Antonio, TX 78229-4443 · (210) 761-9001 · Fax (800) 852-8610

Phone(210) 541-8281

Fax(210) 541-9123

Sole ProprietorYes

Enumeration DateApril 14, 2015

Last NPPES UpdateAugust 11, 20267 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1386030526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · R7197

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5430 FREDERICKSBURG RD STE 508, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Kelley Deforest Do 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 Reassignments

Medicare enrollment records show Patricia Deforest reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rh Center LLC

0.6 mi

Multi-Specialty

7434 LOUIS PASTEUR DR STE 209
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
16 clinicians in this Medicare group

NPI 1588355077 (210) 761-9001

University Of Texas Health Science Center At San Antonio

0.7 mi

Clinical Pathology/Laboratory Medicine

7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
2,397 clinicians in this Medicare group

NPI 1396717989 (210) 450-9000

Community Medicine Associates

6.4 mi

Family Medicine

903 W MARTIN ST # MS 49-2
San Antonio, TX 78207

Reassigned Medicare billing, Texas enrollment
1,129 clinicians in this Medicare group

NPI 1245313329 (210) 358-3401

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

89.92/100

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

Scored as part of a group practice

Quality

79.39

Promoting Interoperability

100

Improvement Activities

Cost

62.89

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.

KATHLEEN MARIE MCINNIS NNP

Nurse Practitioner (Neonatal)