Patrick Padilla, M.D.
NPI 1225041676 · Orthopaedic Surgery Physician · Encinitas, CA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Patrick Padilla, M.D. is a Orthopaedic Surgery Physician provider in Encinitas, CA (NPI 1225041676).
Provider details
- NPI number
- 1225041676
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G79160 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
517 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 133 | $128 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 66 | $37 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 62 | $90 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 58 | $167 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 55 | $66 |
| X-Ray of Knee, 3 Views73562 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Ibuprofen | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2011-03-29
Frequently asked questions
- What is Patrick Padilla's NPI number?
- Patrick Padilla's National Provider Identifier (NPI) is 1225041676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patrick Padilla's specialty?
- Patrick Padilla is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Patrick Padilla located?
- Patrick Padilla's practice location on file with NPPES is 351 Santa Fe Dr, Encinitas, CA 92024-5137.
- What is Patrick Padilla's phone number?
- The practice phone number listed in the NPPES registry for Patrick Padilla is (760) 633-3130.
- Does Patrick Padilla accept Medicare?
- Patrick Padilla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Patrick Padilla's NPI active?
- Yes — Patrick Padilla's NPI (1225041676) is active in the NPPES registry as of the last update on 2011-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.