EMMA JEAN PATTERSON (MD) – Surgery Physician, NPI 1174515431

EMMA JEAN PATTERSON (MD) is a healthcare provider. based in Portland, Oregon. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD22571 (OR). The NPI Number for EMMA JEAN PATTERSON (MD) is 1174515431

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
EMMA JEAN PATTERSON (MD)
NPI
1174515431
Phone
(503) 227-5050
Address
825 NE 20TH AVE STE 340
Enumeration Date
22 August 2005
Last Update Date
6 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032275050
Graduation Year
1993 (33 years ago)
PAC ID
0345148987
Group Practice PAC ID
9931109220
Professional Enrollment ID
I20040320000271
Address ID
OR972322275PO825XXAVEX404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

530 GENERAL SURGERY in OR

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Provider Addresses for EMMA JEAN PATTERSON (MD)

  • Northeast 20th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States

    PORTLAND, OR 972322275

    Phone: (503) 227-5050

    Fax: (503) 227-2462

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $11,624.

Total Amount is formed as General ($11,624) + Research ($0) + Ownership ($0) = $11,624.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Medtronic, Inc. ($10,326).

Total Amount

$11,624

General + Research + Ownership

Payments

51

Total payment records

General Amount

$11,624

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-03-20

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
I20040320000271IGeneral SurgeryORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5334$0
View full utilization report →

Insurance plans in this area (ZIP 97232)

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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: 9931109220View full group profile
NameSpecialtyState
General SurgeryMN

Reviews

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Frequently asked questions

How do I look up EMMA JEAN PATTERSON (MD) by NPI?
Use NPI 1174515431 when you need to reference EMMA JEAN PATTERSON (MD) in forms, claims, or directories.
Does this profile mean EMMA JEAN PATTERSON (MD) is currently active?
Yes — EMMA JEAN PATTERSON (MD) appears active in the national provider directory.
Can you summarize EMMA JEAN PATTERSON (MD)'s specialty in plain language?
Clinically, the directory lists EMMA JEAN PATTERSON (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place EMMA JEAN PATTERSON (MD)?
The snapshot lists Portland, Oregon for EMMA JEAN PATTERSON (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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