NPIMap

Individual provider Active NPI

Patrick J Homer, D.O.

  • Family Medicine Physician
  • Lovington, NM
National Provider Identifier
1003852252
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-1091-98 Issued in NM
Practice address
1600 North Main
Lovington, NM 88260-2813
Phone
(575) 396-6611
Fax
(575) 396-1454
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A-1091-98 NM Primary

Addresses

Primary practice location

1600 North Main
Lovington, NM 88260-2813

Mailing address

1600 N Main Ave
Lovington, NM 88260-2830
Phone (575) 396-6611

Other identifiers 1

IdentifierTypeStateIssuer
S8178MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000154 NM Practitioner - Family Practice 4486651916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nor-Lea Hospital District 58 clinicians

Practice addresses (Care Compare)

1600 N Main
Lovington, NM 88260-2813

1600 N Main Ave
Lovington, NM 88260-2813
Phone 57539666115303

515 E Main St
Hobbs, NM 88240-8119
Phone (575) 397-0560

Hospital & facility affiliations

  • Elite Home Health, LLC Home health agency, Hobbs, NM, CCN 327198
  • Star Care Home Health Home health agency, Hobbs, NM, CCN 327189
  • Excelacare Home Health Home health agency, Hobbs, NM, CCN 327100
  • Enhabit Home Health Home health agency, Carlsbad, NM, CCN 327172
  • Star Hospice LLC Hospice, Hobbs, NM, CCN 321550
  • Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305
  • Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
A-1091-98NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nor-Lea Hospital District CurrentSince Jul 6, 1998 Accepting new patients
Nor-Lea Hospital District CurrentSince Jul 6, 1998 Accepting new patients
Star Hospice, LLC Family Medicine PastSince Dec 31, 2024 Accepting new patients
Star Care Home Health, LLC PastSince Dec 31, 2024 Accepting new patients
New Mexico Em-1 Medical Services, P.C. Past Accepting new patients
Nor-Lea Hospital District Past Accepting new patients

Locations

515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560

1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611

1600 N Main Ave
Ste A
Lovington, NM 88260
Phone (505) 396-3529

Interoperability endpoints

  • Direct secure messaging: phomer1266616@oc.providencedirect.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Star Care Home HealthHobbs, NM, CCN 327189 Home health agency Contracted Managing Employee Dec 31, 2024
Star Hospice IncHobbs, NM, CCN 321550 Hospice Contracted Managing Employee Dec 31, 2024
Star HospiceOdessa, TX, CCN 451701 Hospice Contracted Managing Employee Dec 31, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1003852252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602830",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NORTH MAIN",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602813",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1091-98",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S8178",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovington, NM

Sources for this page

Verify at the official NPI Registry.