Active NPI 1225041676 Individual Practitioner Male Practitioner

Dr. Patrick Joseph Padilla , MD

Orthopaedic Surgery • Encinitas, CA

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Padilla, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Encinitas, CA. Practice services are available at 351 SANTA FE DR under active NPI credentials.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

351 Santa Fe Dr
Suite #100

Encinitas, CA 920245137

Telephone 7606333130

Fax 7606333546

Associated Practice Facility / Clinic

🏢 Patrick J. Padilla, M.d. Inc. Facility NPI 1316012149

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Encinitas, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.9 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

14 Specialists

Practicing in Encinitas, CA (2527 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	312	36	$7.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	94	$275.00	$127.80
73030 X-ray of shoulder, minimum of 2 views	66	44	$92.00	$36.62
99213 Established patient office or other outpatient visit, typically 15 minutes	62	36	$200.00	$90.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$350.00	$166.66
20610 Aspiration and/or injection of fluid from large joint	55	48	$202.75	$66.40
73562 X-ray of knee, 3 views	37	35	$114.00	$43.56
73610 X-ray of ankle, minimum of 3 views	34	18	$99.00	$32.76
J1030 Injection, methylprednisolone acetate, 40 mg	24	12	$7.00	$6.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	18	$322.00	$111.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$224.00	$74.26
73721 Mri scan of leg joint without contrast	12	11	$761.00	$210.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$250.00	$111.07
72040 X-ray of upper spine, 2-3 views	11	11	$106.00	$41.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	98	$275.00	$136.81
99213 Established patient office or other outpatient visit, typically 15 minutes	116	82	$200.00	$97.03
J1030 Injection, methylprednisolone acetate, 40 mg	101	68	$7.00	$6.90
20610 Aspiration and/or injection of fluid from large joint	89	69	$214.48	$73.54
73562 X-ray of knee, 3 views	77	65	$114.00	$46.76
73030 X-ray of shoulder, minimum of 2 views	64	42	$92.00	$39.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$350.00	$177.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$628.00	$179.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$250.00	$119.91
73502 X-ray of hip, 2-3 views	26	17	$133.00	$45.73
73610 X-ray of ankle, minimum of 3 views	22	13	$99.00	$37.81
73721 Mri scan of leg joint without contrast	15	15	$761.00	$239.32
72040 X-ray of upper spine, 2-3 views	12	12	$106.00	$45.41
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3853.00	$1281.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	120	$200.00	$98.29
J1030 Injection, methylprednisolone acetate, 40 mg	99	48	$7.00	$6.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	76	$275.00	$138.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$250.00	$119.61
20610 Aspiration and/or injection of fluid from large joint	78	63	$215.65	$75.19
73030 X-ray of shoulder, minimum of 2 views	75	49	$92.00	$38.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	12	$2.00	$1.11
73562 X-ray of knee, 3 views	63	51	$114.00	$46.63
73502 X-ray of hip, 2-3 views	53	35	$133.00	$47.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$628.00	$206.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$350.00	$179.20
73610 X-ray of ankle, minimum of 3 views	22	14	$99.00	$41.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$424.00	$140.00
73721 Mri scan of leg joint without contrast	13	13	$761.00	$243.61
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3853.00	$1297.62
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3746.00	$1268.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	156	104	$200.00	$98.60
J1030 Injection, methylprednisolone acetate, 40 mg	92	35	$7.00	$5.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	67	$274.44	$140.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$250.00	$121.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	75	$628.00	$207.01
73030 X-ray of shoulder, minimum of 2 views	52	41	$93.77	$38.33
73562 X-ray of knee, 3 views	50	41	$120.84	$46.08
20610 Aspiration and/or injection of fluid from large joint	49	39	$212.14	$73.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$350.00	$173.48
73502 X-ray of hip, 2-3 views	31	23	$133.00	$47.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	13	$224.00	$75.12
73100 X-ray of wrist, 2 views	21	11	$92.00	$37.15
72040 X-ray of upper spine, 2-3 views	16	16	$106.00	$44.73
73721 Mri scan of leg joint without contrast	13	13	$761.00	$254.63
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$3746.00	$1273.89
73110 X-ray of wrist, minimum of 3 views	11	11	$113.00	$46.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	136	83	$203.88	$80.84
J1030 Injection, methylprednisolone acetate, 40 mg	116	43	$7.09	$6.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	76	$282.19	$117.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$258.70	$115.93
20610 Aspiration and/or injection of fluid from large joint	67	47	$187.48	$63.40
73562 X-ray of knee, 3 views	60	46	$115.15	$43.77
73030 X-ray of shoulder, minimum of 2 views	51	39	$91.69	$36.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	49	$626.29	$212.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$360.59	$175.56
73100 X-ray of wrist, 2 views	21	12	$90.48	$36.21
73502 X-ray of hip, 2-3 views	19	14	$130.79	$48.35
J1040 Injection, methylprednisolone acetate, 80 mg	15	11	$31.00	$11.76
72040 X-ray of upper spine, 2-3 views	15	15	$106.00	$42.48
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$111.58	$42.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	110	$327.00	$114.42
99213 Established patient office or other outpatient visit, typically 15 minutes	75	53	$222.75	$78.20
J1040 Injection, methylprednisolone acetate, 80 mg	62	42	$31.00	$12.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$395.00	$171.46
20610 Aspiration and/or injection of fluid from large joint	55	43	$153.82	$65.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$621.00	$207.44
73562 X-ray of knee, 3 views	38	32	$109.00	$40.64
73030 X-ray of shoulder, minimum of 2 views	32	23	$88.00	$31.97
73110 X-ray of wrist, minimum of 3 views	28	20	$107.00	$39.83
73502 X-ray of hip, 2-3 views	26	21	$126.00	$42.77
73610 X-ray of ankle, minimum of 3 views	24	11	$94.00	$35.17
73100 X-ray of wrist, 2 views	23	15	$88.00	$34.71
73552 X-ray of thigh bone, minimum 2 views	20	12	$99.00	$36.25
72100 X-ray of lower and sacral spine, 2-3 views	12	11	$107.00	$39.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$350.00	$113.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	148	$326.40	$107.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$397.03	$162.89
J1030 Injection, methylprednisolone acetate, 40 mg	100	43	$17.00	$6.60
20610 Aspiration and/or injection of fluid from large joint	87	63	$152.34	$62.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	63	$620.66	$197.47
73030 X-ray of shoulder, minimum of 2 views	45	34	$88.00	$28.09
J1040 Injection, methylprednisolone acetate, 80 mg	42	28	$31.00	$13.20
73562 X-ray of knee, 3 views	41	37	$109.00	$36.71
73552 X-ray of thigh bone, minimum 2 views	35	18	$99.00	$24.81
73502 X-ray of hip, 2-3 views	30	23	$126.00	$34.04
73630 X-ray of foot, minimum of 3 views	21	11	$88.00	$27.08
73110 X-ray of wrist, minimum of 3 views	21	12	$107.00	$33.46
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$222.00	$72.74
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$107.00	$36.01
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$3809.67	$1197.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	220	65	$16.00	$5.79
99213 Established patient office or other outpatient visit, typically 15 minutes	104	87	$152.00	$73.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	73	$226.00	$107.58
20610 Aspiration and/or injection of fluid from large joint	93	64	$149.03	$65.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$226.00	$107.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	64	$419.00	$199.18
73502 X-ray of hip, 2-3 views	61	34	$89.00	$36.99
73562 X-ray of knee, 3 views	61	47	$73.00	$31.41
73502 X-ray of hip, 2-3 views	40	40	$89.00	$11.21
73030 X-ray of shoulder, minimum of 2 views	39	28	$61.00	$24.01
73110 X-ray of wrist, minimum of 3 views	27	13	$75.00	$31.33
73552 X-ray of thigh bone, minimum 2 views	25	14	$69.00	$31.55
73610 X-ray of ankle, minimum of 3 views	24	16	$67.00	$26.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$92.00	$43.95
73630 X-ray of foot, minimum of 3 views	21	14	$61.00	$24.69
73721 Mri scan of leg joint without contrast	17	16	$142.00	$67.76
27235 Insertion of hardware to broken thigh bone, accessed through the skin	14	14	$1898.00	$899.36
74176 Ct scan of abdomen and pelvis without contrast	11	11	$425.00	$86.84

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA G79160

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G791600 (CA)

Commercial Insurance / Payer ID Dmepos

1315870001 (CA)

Commercial Insurance / Payer ID Blue Shield

00G791600 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Laura Rausa , OTC

Specialist/Technologist, Other

NPI 1033237417

Dr. Stephen Nichols , MD

Orthopaedic Surgery - Sports Medicine

NPI 1427145218

Doctor of Medicine (M.D.)

Steven Lombardo , OTC

Specialist/Technologist, Other - Surgical Technologist

NPI 1427295674

Karli Hinson , OT-C

Specialist/Technologist, Other - Orthopedic Assistant

NPI 1487028999

OTC

Rebecca Drexler , OT-C

Specialist/Technologist, Other

NPI 1659552503

OTC

Ryan Anderson , OT C

Orthopaedic Surgery

NPI 1811015175

OTC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 29, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 29, 2011

Registered at 351 SANTA FE DR, SUITE #100, ENCINITAS, CA 920245137 (Tel: 7606333130)

📍

Updated Business Mailing Address March 29, 2011

Registered at 351 SANTA FE DR, SUITE 100, ENCINITAS, CA 920245137 (Tel: 7606333130)

👤

Provider Name / Credentials Updated March 29, 2011

Recorded as PATRICK PADILLA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2011

Orthopaedic Surgery (License #G79160 in CA)

🟢

Initial NPI Registration & Enumeration August 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225041676

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 15, 2006

Last Update: March 29, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

351 Santa Fe Dr, Suite 100

Encinitas, CA 920245137

Phone: 7606333130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.