EMILY ILEEN PATTON (D.O.) – General Practice Physician, NPI 1457713471

EMILY ILEEN PATTON (D.O.) is a healthcare provider. based in Travis afb, California. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 0102204948 (VA). The NPI Number for EMILY ILEEN PATTON (D.O.) is 1457713471

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
EMILY ILEEN PATTON (D.O.)
NPI
1457713471
Phone
(707) 423-5105
Address
101 BODIN CIR
Enumeration Date
28 March 2016
Last Update Date
5 May 2026

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
2094762000
Graduation Year
2016 (10 years ago)
PAC ID
7911265566
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20241112001455
Address ID
CA952103377ST7373XLANE300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:10State licenses:2Digital endpointsOther names

1,287 DERMATOLOGY in TX

Provider Addresses for EMILY ILEEN PATTON (D.O.)

  • 101 BODIN CIR

    TRAVIS AFB, CA 945351809

    Phone: (707) 423-5105

    Type: Mailing

  • 6612 Woodway Dr Bldg A2

    Waco, TX 767126143

    Phone: (254) 265-7100

    Fax: (254) 875-0449

    Type: Location

  • 1100 WILFORD HALL LOOP

    JBSA LACKLAND, TX 782365638

    Phone: (210) 292-5350

    Type: Mailing

  • 1618 CANYON CREEK DR STE 120

    TEMPLE, TX 765023273

    Phone: (254) 265-7100

    Fax: (254) 875-0449

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Daiichi Sankyo Inc.$29
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241112001455IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94535)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I cross-check EMILY ILEEN PATTON (D.O.) using NPI 1457713471?
NPI 1457713471 belongs to EMILY ILEEN PATTON (D.O.); compare other details if you need extra assurance.
Is there an active status for EMILY ILEEN PATTON (D.O.)?
For scheduling context, EMILY ILEEN PATTON (D.O.) is shown as active in the registry.
What expertise is attributed to EMILY ILEEN PATTON (D.O.)?
EMILY ILEEN PATTON (D.O.)'s specialty line reads General Practice Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EMILY ILEEN PATTON (D.O.)?
Travel planning: use Travis Afb, California as the reference point for EMILY ILEEN PATTON (D.O.), then confirm.
When was this NPI issued?
Enumeration for EMILY ILEEN PATTON (D.O.) is noted as March 28, 2016 where the registry provides it.

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