Individual provider Active NPI

Robert Lewis Patterson III, PA-C

  • Surgical Physician Assistant
  • Medford, OR
National Provider Identifier
1427046432
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA00756 Issued in OR
Practice address
1841 E Barnett Rd
Medford, OR 97504-8249
Phone
(541) 216-7291
Fax
(541) 636-2163
NPI assigned
Oct 12, 2005
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00756 OR
Physician Assistant 363A00000X PA-00756 OR
Surgical Physician Assistant 363AS0400X PA00756 OR Primary

Addresses

Primary practice location

1841 E Barnett Rd
Medford, OR 97504-8249

Mailing address

2825 E Barnett Rd # MSS
Medford, OR 97504-8332
Phone (541) 789-4200

Other practice location 1

537 Union Ave Fl 2
Grants Pass, OR 97527-5543
Phone (541) 789-4200

Other identifiers 3

IdentifierTypeStateIssuer
PA00756MedicaidOR
213959MedicaidOR
PA00756OtherMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000212 OR Practitioner - Physician Assistant 9436176567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Immediate Care, LLCGroup PAC ID 7618876723, 36 clinicians

Practice addresses (Care Compare)

10586 Hwy 62
Suite a
Eagle Point, OR 97524-9438
Phone (541) 734-9030

1217 Plaza Blvd
Suite a
Central Point, OR 97502-2682
Phone (541) 734-9030

1600 Delta Waters Rd
Suite 107
Medford, OR 97504-9114
Phone (541) 858-2515

162 NE Beacon Dr
Suite 103
Grants Pass, OR 97526-4260
Phone (541) 734-9030

1700 E Barnett Rd
Medford, OR 97504-0052
Phone (541) 734-9030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-00756ORMDPhysician Assistant
PA00756ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients
Icco LLC PastSince Sep 1, 2026 Accepting new patients
Icco, LLC PastSince Sep 1, 2026 Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1427046432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E BARNETT RD # MSS",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048332",
            "telephone_number": "541-789-4200",
            "fax_number": "541-507-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048249",
            "telephone_number": "541-216-7291",
            "fax_number": "541-636-2163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 Union Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275543",
            "country_code": "US",
            "telephone_number": "541-789-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ROBERT",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00756",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA-00756",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA00756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA00756",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213959",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA00756",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.