Active NPI
Robert Lewis Patterson III, PA-C
- Surgical Physician Assistant
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA00756
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA00756 | Medicaid | OR | |
| 213959 | Medicaid | OR | |
| PA00756 | Other | MEDICAL 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA-00756 | OR | MD | Physician Assistant |
| PA00756 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Sports Medicine Center LLC | Past | Accepting new patients | |
| Orthopaedic and Sports Medicine Center LLC | Past | Accepting new patients | |
| Icco LLC | Past | Accepting new patients | |
| Icco, LLC | Past | 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.
-
- Urgent Care Clinic/Center
- Medford, OR
- NPI 1982709226
-
dba Advanced Orthopedics
- Orthopaedic Surgery Physician
- Medford, OR
- NPI 1487327003
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Annapolis, MD
- NPI 1083617625
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Bowie, MD
- NPI 1245439595
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.