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DR. MICHAEL JAMES PATTERSON M.D.
NPI 1811934086
Orthopaedic Surgery in Alabaster, AL

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
81.03/100
CMS Quality Rating
831 1ST ST N, ALABASTER, AL 35007(000) 000-0001 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael James Patterson M.d. NPPES

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

DR. MICHAEL JAMES PATTERSON M.D. (NPI 1811934086) is an individual orthopaedic surgery provider in Alabaster, Alabama, licensed in Alabama (00022472) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1993).

NPPES Registry Identity

NPI1811934086
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL JAMES PATTERSONCredential: M.D.
Location Address831 1ST ST NAlabaster, AL 35007-8944
Mailing AddressPo Box 840Northport, AL 35476-0840 · (205) 333-8800 · Fax (205) 333-8406
Phone(000) 000-0001
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1993
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 25, 2018
✔ NPI 1811934086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AL · 00022472
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
831 1ST ST N, Alabaster, AL 35007
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Other Identifiers 2

Other5414810001Medicare Dme
Medicaid009937159AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael James Patterson M.d. 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 ID9032121637
PECOS Enrollment IDI20060623000147
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.

Areas of Expertise CMS Part B claims 7

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
196 services28 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
46 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
35 services26 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
23 services20 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.
22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35007 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

81.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.68
Promoting Interoperability100
Improvement Activities40
Cost66.08

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%238 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
86%557 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%557 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier16 claims16 services$101.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

SHELBY GRACE TROYER PT, DPT
Physical Therapist
831 1ST ST N, SUITE B
ALABASTER, AL 35007
Shelby County (205) 358-9138
ENCORE REHABILITATION, INC
Clinic/Center (Physical Therapy)
831 1ST ST N
ALABASTER, AL 35007
Shelby County (205) 605-9005
LEMAK SPORTS MEDICINE, LLC
Durable Medical Equipment & Medical Supplies
831 1ST ST N
ALABASTER, AL 35007
Shelby County (205) 358-9120
MR. MATTHEW YOUNG JOHNSON P.A.
Physician Assistant (Surgical)
831 1ST ST N
ALABASTER, AL 35007
Shelby County (205) 620-1085
DRAYER PHYSICAL THERAPY-ALABAMA, LLC
Physical Therapist
831 1ST ST N, SUITE B
ALABASTER, AL 35007
Shelby County (205) 358-9138
CALVIN ALPHONSO SPELLMON JR. M.D.
Family Medicine (Sports Medicine)
831 1ST ST N
ALABASTER, AL 35007
Shelby County (205) 663-8530
SHELBY BAPTIST SPORTS MEDICINE AND FAMILY MEDICINE
Specialist
831 1ST ST N
ALABASTER, AL 35007
Shelby County (205) 358-9120
SYNERGY MEDICAL, LLC
Durable Medical Equipment & Medical Supplies
831 1ST ST N
ALABASTER, AL 35007
Shelby County (205) 358-9120

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 Michael Patterson's NPI number?

The NPI number for Michael Patterson is 1811934086. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Michael Patterson located?

Michael Patterson practices at 831 1st St N, Alabaster, AL 35007. The listed phone number is (000) 000-0001.

What is Michael Patterson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Patterson enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Patterson accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Michael Patterson 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 Michael Patterson was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.