DR. DALLAS JUSTIN PATTERSON (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1083912323

DR. DALLAS JUSTIN PATTERSON (D.P.M.) is a healthcare provider. based in San antonio, Texas. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 1998 (TX). The NPI Number for DR. DALLAS JUSTIN PATTERSON (D.P.M.) is 1083912323

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. DALLAS JUSTIN PATTERSON (D.P.M.)
NPI
1083912323
Phone
(210) 614-9610
Address
423 TREELINE PARK
Enumeration Date
10 March 2011
Last Update Date
3 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106149610
Graduation Year
2012 (14 years ago)
PAC ID
6204082001
Group Practice PAC ID
6901052042
Professional Enrollment ID
I20120810000110
Address ID
TX782091228SA1007XLOOP301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,097 PODIATRY in TX

Provider Addresses for DR. DALLAS JUSTIN PATTERSON (D.P.M.)

  • 423 TREELINE PARK

    SUITE #315

    SAN ANTONIO, TX 782092060

    Phone: (210) 614-9610

    Fax: (210) 614-9613

    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 20 Open Payments records for all available years, with a total value of $872.

Total Amount is formed as General ($872) + Research ($0) + Ownership ($0) = $872.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($575).

Total Amount

$872

General + Research + Ownership

Payments

20

Total payment records

General Amount

$872

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2012-08-10

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
I20120810000110IPodiatryTXTBD

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 minutes659274$0
73620X-ray of foot, 2 views185136$0
99203New patient office or other outpatient visit, 30-44 minutes101101$0
11042Removal of skin and tissue, 20.0 sq cm or less8440$0
99204New patient office or other outpatient visit, 45-59 minutes7676$0
View full utilization report →

Insurance plans in this area (ZIP 78209)

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Provider's Procedures

DR. DALLAS JUSTIN PATTERSON (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYTX73630X-ray of foot, minimum of 3 views4135

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: 6901052042View full group profile
NameSpecialtyState
P O D I A T R YTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. DALLAS JUSTIN PATTERSON (D.P.M.)?
NPI 1083912323 is assigned to DR. DALLAS JUSTIN PATTERSON (D.P.M.) under the national enumeration system.
Does this profile mean DR. DALLAS JUSTIN PATTERSON (D.P.M.) is currently active?
Yes — DR. DALLAS JUSTIN PATTERSON (D.P.M.) appears active in the national provider directory.
What does DR. DALLAS JUSTIN PATTERSON (D.P.M.) treat or focus on?
Patients typically see DR. DALLAS JUSTIN PATTERSON (D.P.M.) under the specialty Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Does DR. DALLAS JUSTIN PATTERSON (D.P.M.) practice in Texas?
You will see San Antonio, Texas on file for DR. DALLAS JUSTIN PATTERSON (D.P.M.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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