DR. WILLIAM LYLE JR. PATTERSON (DO) – Sports Medicine (Family Medicine) Physician, NPI 1184036337
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for DR. WILLIAM LYLE JR. PATTERSON (DO)
17055 RUBEN LN
SANDY, OR 970559276
Phone: (503) 668-8002
Fax: (503) 668-5246
Type: Mailing
22 Bramhall St
Portland, ME 041023134
Phone: (207) 662-0111
Type: Location
17055 Ruben Ln
Sandy, OR 97055
Phone: (503) 668-8002
Fax: (503) 668-5246
Type: Location
56 New Driftway
Scituate, MA 020664533
Phone: (781) 545-7243
Type: Location
56 NEW DRIFTWAY
SCITUATE, MA 020664533
Phone: (781) 545-7243
Type: Mailing
15 CORPORATE PARK DR
PEMBROKE, MA 023591966
Phone: (781) 826-8065
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-04-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210429002685 | I | Family Practice | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 450 | 344 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 360 | 360 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 109 | $0 |
| G0008 | Administration of influenza virus vaccine | 85 | 85 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 70 | 70 | $0 |
Insurance plans in this area (ZIP 97055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MA | |
| Family Practice | NY | |
| Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| - | CO | |
| - | MA | |
| - | MA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MA | |
| - | MA |
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