DR. CASEY PATRICK (MD) – Emergency Medicine Physician, NPI 1093739906

DR. CASEY PATRICK (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 01060942A (IN). The NPI Number for DR. CASEY PATRICK (MD) is 1093739906

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASEY PATRICK (MD)
NPI
1093739906
Phone
(317) 274-4705
Address
550 University Blvd
Enumeration Date
26 July 2006
Last Update Date
15 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
5094743131
Graduation Year
2004 (22 years ago)
PAC ID
7618977638
Group Practice PAC ID
8527050731
Professional Enrollment ID
I20200616001296
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for DR. CASEY PATRICK (MD)

  • 550 University Blvd

    Indianapolis, IN 462025149

    Phone: (317) 274-4705

    Fax: (317) 870-0499

    Type: Location

  • Daytona Beach Post Office, North Atlantic Avenue, Daytona Beach, Volusia County, Florida, 32118, United States

    DAYTONA BEACH, FL 321209430

    Phone: (386) 274-7800

    Type: Mailing

  • Florida Hospital Deland, 701, West Plymouth Avenue, DeLand, Volusia County, Florida, 32720, United States

    DELAND, FL 327203236

    Phone: (321) 209-4303

    Type: Location

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 $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: ZOLL Medical Corporation ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ZOLL Medical Corporation$33
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: 2020-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100126000378IEmergency MedicineTXTBD
I20200616001296IEmergency MedicineWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making10099$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9182$0
99291Critical care, first 30-74 minutes5353$0
99284Emergency department visit with moderate level of medical decision making4040$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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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: 8527050731View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency MedicineWA
-WA
Emergency MedicineWA
-WA
-CA
Physician AssistantIN
Emergency MedicineWA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How is DR. CASEY PATRICK (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. CASEY PATRICK (MD) with NPI 1093739906.
Is DR. CASEY PATRICK (MD) listed as active for patients and plans?
The listing shows DR. CASEY PATRICK (MD) as active in the NPI system.
What is DR. CASEY PATRICK (MD)'s specialty?
The listing groups DR. CASEY PATRICK (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CASEY PATRICK (MD)?
DR. CASEY PATRICK (MD)'s geographic hint is Indianapolis, Indiana in our summary view.
Is the information about DR. CASEY PATRICK (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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