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Dr. Devon Patterson , PhD

Psychologist - Clinical โ€ข Ponte Vedra, FL

Active NPI 1326567587 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

90 Fort Wade Rd Ste 100
Ponte Vedra, FL 320815114

Call 9043516342 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

90 Fort Wade Rd Ste 100

Ponte Vedra, FL 320815114

Telephone 9043516342
Organization at the Same NPPES Address or Phone
Integrated Health Clinical Counseling P.l.l.c. Facility NPI 1053833566

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2016

Medicare patients

12 people with Original Medicare in 2018

Different Original Medicare patients in 2018; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2018.

Medicare-allowed amount

About $1,370 in 2018

The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2018.

Paid by Medicare

About $1,067 in 2018

The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2018.

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Patterson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Patterson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ponte Vedra and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Patterson are from 2018.

6 active clinicians are listed under Psychologist - Clinical with a practice address in Ponte Vedra, FL (3,021 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2018.

CMS Part B ยท Data Year 2018

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
11 11 $252.00 $124.55

Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-28
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES FL PY9935

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20180117000697

Enrollment State Jurisdiction

FL

PECOS Control ID

3274892419

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Jorge De La Rotta Soto , APRN

Nurse Practitioner - Family

NPI 1245791078

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
๐Ÿ“
Updated Practice Location February 06, 2026

Registered at 90 FORT WADE RD STE 100, PONTE VEDRA, FL 320815114 (Tel: 9043516342)

๐Ÿ“
Updated Practice Location September 12, 2025

Registered at 90 FORT WADE RD STE 100, PONTE VEDRA BEACH, FL 320815114 (Tel: 9043516342)

๐Ÿ“
Updated Business Mailing Address September 12, 2025

Registered at 10700 BEACH BLVD UNIT 17254, JACKSONVILLE, FL 322458051

๐Ÿ“
Updated Business Mailing Address May 13, 2022

Registered at PO BOX 748519, ATLANTA, GA 303748519 (Tel: 9043763800)

๐Ÿ“
Updated Practice Location January 11, 2022

Registered at 1747 BAPTIST CLAY DR STE 350, FLEMING ISLAND, FL 320038504 (Tel: 9043763800)

โœ…
NPI Profile Active October 30, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location October 30, 2017

Registered at 1747 BAPTIST CLAY DR STE 1350, FLEMING ISLAND, FL 320038502 (Tel: 9043763800)

๐Ÿ“
Updated Business Mailing Address October 30, 2017

Registered at PO BOX 44230, JACKSONVILLE, FL 322314230 (Tel: 9043763800)

๐Ÿ‘ค
Provider Name / Credentials Updated October 30, 2017

Recorded as DEVON PATTERSON, PHD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2017

Psychologist (license number reported to NPPES: FL PY9935)

โœ…
NPI Profile Active September 19, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 19, 2017

Registered at 6867 SOUTHPOINT DR N, JACKSONVILLE, FL 322168043 (Tel: 9046196071)

๐Ÿ“
Business Mailing Address (Initial Record) September 19, 2017

Registered at 6867 SOUTHPOINT DR N, JACKSONVILLE, FL 322168043

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 19, 2017

Recorded as DEVON PATTERSON

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2017

Psychologist (license number reported to NPPES: FL PY9935)

๐ŸŸข
Initial NPI Registration & Enumeration September 19, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326567587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2017
Last Update: April 28, 2026
Sole Proprietor: Yes

Mailing Address

10700 Beach Blvd Unit 17254

Jacksonville, FL 322458051

Phone: 9043516342

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.