DR. PAULA C PATTON MD
NPI 1790712917
Internal Medicine in Philadelphia, PA

Active since June 26, 2006PECOS Enrolled
51 NORTH 39TH STREET, PHILADELPHIA, PA 19104(215) 662-9436 Get Directions Write a Review

NPPES record last updated: January 22, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Paula C Patton Md NPPES

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

DR. PAULA C PATTON MD (NPI 1790712917) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD055129L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790712917
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAULA C PATTONCredential: MD
Location Address51 NORTH 39TH STREETPhiladelphia, PA 19104-2640
Mailing Address3624 Market Street, Suite 560wPhiladelphia, PA 19104-2460 · (215) 662-9436
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJanuary 22, 2010
✔ NPI 1790712917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD055129L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License MD055129L (PA)
51 NORTH 39TH STREET, Philadelphia, PA 19104

Other Identifiers 2

Medicare ID-Type Unspecified783354PA
Medicare UPING08348PA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paula C Patton Md 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

7

Medicare enrollment records show Paula Patton reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
5800 WALNUT STREET REAR
Philadelphia, PA 19139
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 27 clinicians in this Medicare group
Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
Family Medicine
5600 TABOR RD
Philadelphia, PA 19120
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 360 clinicians in this Medicare group
Transplant Surgery
8835 GERMANTOWN AVE
Philadelphia, PA 19118
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
Neurology
140 NUTT RD
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 529 clinicians in this Medicare group
Family Medicine
730 S HANOVER ST
Pottstown, PA 19465
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 474 clinicians in this Medicare group
Internal Medicine
225 S CENTER AVE
Somerset, PA 15501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
  • 274 clinicians in this Medicare group

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 4

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 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.
74 services52 patients
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.
62 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services23 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Internal Medicine
51 NORTH 39TH STREET, MAB, SUITE 102
PHILADELPHIA, PA 19104
Internal Medicine (Cardiovascular Disease)
51 NORTH 39TH STREET, 4 PHI
PHILADELPHIA, PA 19104
Internal Medicine (Cardiovascular Disease)
51 NORTH 39TH STREET, 4 PHI
PHILADELPHIA, PA 19104
Nurse Practitioner (Family)
51 NORTH 39TH STREET
PHILADELPHIA, PA 19104
Surgery (Trauma Surgery)
51 NORTH 39TH STREET, MEDICAL OFFICE BUILDING, 1ST FLOOR, SUITE 120
PHILADELPHIA, PA 19104
Internal Medicine (Infectious Disease)
51 NORTH 39TH STREET, 3910 BUILDING, 2ND FLOOR
PHILADELPHIA, PA 19104
Nurse Anesthetist, Certified Registered
51 NORTH 39TH STREET, 223 WRIGHT SAUNDERS
PHILADELPHIA, PA 19104
Internal Medicine (Interventional Cardiology)
51 NORTH 39TH STREET, 4 PHI
PHILADELPHIA, PA 19104

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 Paula Patton's NPI number?

The NPI number for Paula Patton is 1790712917. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Paula Patton located?

Paula Patton practices at 51 North 39th Street, Philadelphia, PA 19104. The listed phone number is (215) 662-9436.

What is Paula Patton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paula Patton enrolled in Medicare?

Yes. Paula Patton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paula Patton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Patton reassigns Medicare benefits to 7 organizations: Sayre Health Center (Philadelphia, PA), Prospect Health Access Network, Inc. (Drexel Hill, PA), Hr Physician Services (Philadelphia, PA), Tower Health Medical Group (Philadelphia, PA), Phoenixville Clinic Company LLC (Phoenixville, PA) and 2 more organizations, listed in the Medicare section above. 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 Paula Patton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Patton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paula Patton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paula Patton was last updated on January 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.