DR. RANDY BLAKE PATTERSON (M.D.) – General Practice Physician, NPI 1194109066

DR. RANDY BLAKE PATTERSON (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 31329 (OK). The NPI Number for DR. RANDY BLAKE PATTERSON (M.D.) is 1194109066

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY BLAKE PATTERSON (M.D.)
NPI
1194109066
Phone
(617) 667-7000
Address
330 BROOKLINE AVENUE
Enumeration Date
10 July 2015
Last Update Date
16 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055571200
Graduation Year
2013 (13 years ago)
PAC ID
6608113097
Group Practice PAC ID
8325560816
Professional Enrollment ID
I20210827000095
Address ID
OK731424437OK5721XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,028 GENERAL SURGERY in MA

Provider Addresses for DR. RANDY BLAKE PATTERSON (M.D.)

  • 330 BROOKLINE AVENUE

    BOSTON, MA 022155400

    Phone: (617) 667-7000

    Fax: (617) 632-7424

    Type: Location

  • 305 W Woodard St Ste 208

    Denison, TX 750203136

    Phone: (469) 868-4233

    Fax: (469) 868-4233

    Type: Location

  • 4117 NW 122nd St Ste 1

    Oklahoma City, OK 731208890

    Phone: (405) 928-6233

    Fax: (405) 694-4104

    Type: Location

  • 1112 HUNTINGTON AVE

    NICHOLS HILLS, OK 731166213

    Phone: (405) 473-0210

    Type: Mailing

  • 1831 E 71ST ST

    TULSA, OK 741363922

    Phone: (877) 866-7123

    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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-02-10 • Largest payer in this snapshot: Smith+Nephew, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$14
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: 2023-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210827000095IGeneral SurgeryOKTBD
I20230518000749IGeneral SurgeryFLTBD
I20231030002821IGeneral SurgeryTXTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes289108$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less23071$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes20096$0
11042Removal of skin and tissue, 20.0 sq cm or less11850$0
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less5913$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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Reviews

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Frequently asked questions

Can I cross-check DR. RANDY BLAKE PATTERSON (M.D.) using NPI 1194109066?
NPI 1194109066 belongs to DR. RANDY BLAKE PATTERSON (M.D.); compare other details if you need extra assurance.
Is DR. RANDY BLAKE PATTERSON (M.D.) still an active registrant?
DR. RANDY BLAKE PATTERSON (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. RANDY BLAKE PATTERSON (M.D.)?
At a glance, DR. RANDY BLAKE PATTERSON (M.D.) is tied to General Practice Physician. Clinical services aligned with this taxonomy classification.
Is DR. RANDY BLAKE PATTERSON (M.D.) associated with Boston?
Public fields place DR. RANDY BLAKE PATTERSON (M.D.) around Boston, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. RANDY BLAKE PATTERSON (M.D.) is noted as July 10, 2015 where the registry provides it.

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