1. Home
  2. Directory
  3. Florida
  4. Gainesville
  5. Pediatrics
  6. NPI Profile

MARY DEFFNER PATTERSON M.D.
NPI 1508893124
Pediatrics - Pediatric Emergency Medicine in Gainesville, FL

Active since June 27, 2006PECOS Enrolled
78.18/100
CMS Quality Rating
1600 SW ARCHER RD # 100186, GAINESVILLE, FL 32610(352) 265-5911 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2018, Jul 31, 2018 (2 updates tracked since 2018).

About Mary Deffner Patterson M.d. NPPES

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

MARY DEFFNER PATTERSON M.D. (NPI 1508893124) is an individual pediatric emergency medicine provider in Gainesville, Florida, licensed in Florida (ME135760) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508893124
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameMARY DEFFNER PATTERSONCredential: M.D.
Location Address1600 SW ARCHER RD # 100186Gainesville, FL 32610-3003
Mailing AddressPo Box 100186Gainesville, FL 32610-0186 · (352) 265-5911
Phone(352) 265-5911
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration
✔ NPI 1508893124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in FL · ME135760✔ Licensed in OH · 35.054632
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
1600 SW ARCHER RD # 100186, Gainesville, FL 32610
Open in Google Maps ↗

Other Identifiers 1

Medicaid025064000FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Deffner Patterson M.d. 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 Reassignment

Medicare enrollment records show Mary Patterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc
Same address
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

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

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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER ALEXANDROV
Emergency Medicine
1600 SW ARCHER RD # 100186
GAINESVILLE, FL 32610
Alachua County (352) 265-5911
MEREDITH C. THOMPSON MD
Emergency Medicine
1600 SW ARCHER RD # 100186
GAINESVILLE, FL 32610
Alachua County (434) 924-2231
JONATHAN MUNOZ MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD # 100186
GAINESVILLE, FL 32610
Alachua County (352) 265-5911
DR. JASMIN TANAJA M.D.
Emergency Medicine
1600 SW ARCHER RD # 100186
GAINESVILLE, FL 32610
Alachua County (404) 727-9934
KENNETH DANIEL KRABACHER M.D.
Emergency Medicine
1600 SW ARCHER RD # 100186
GAINESVILLE, FL 32610
Alachua County (352) 265-5911

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 Mary Patterson's NPI number?

The NPI number for Mary Patterson is 1508893124. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Mary Patterson located?

Mary Patterson practices at 1600 SW Archer Rd # 100186, Gainesville, FL 32610. The listed phone number is (352) 265-5911.

What is Mary Patterson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Mary Patterson enrolled in Medicare?

Yes. Mary Patterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Patterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Patterson reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). 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 Mary 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 Mary Patterson was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.