Active NPI
Matthew Payne, MD
- Pediatrics Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24560
- Practice address
- 940 NE 13TH St
3N3409
Oklahoma City, OK 73104-5008 - Phone
- (405) 271-4417
- NPI assigned
- Feb 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24560 | OK | Primary |
Addresses
Primary practice location
940 NE 13TH St
3N3409
Oklahoma City, OK 73104-5008
Mailing address
940 Stanton L Young Blvd
BMSB 357
Oklahoma City, OK 73104-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770
Hospital & facility affiliations
- Stillwater Medical Center
- Stillwater Medical-Blackwell
- Rural Wellness Fairfax Hospital
- Oklahoma Heart Hospital, LLC
- Stillwater Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24560 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| University of Oklahoma College of Medicine | Pediatrics | Past | Accepting new patients |
| Stillwater Medical Center Authority | Past | Accepting new patients |
Locations
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1558377135
-
- Family Medicine Physician
- Perry, OK
- NPI 1407729361
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
-
- Internal Medicine Physician
- Oklahoma City, OK
- NPI 1497039044
Pediatrics
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1083617005
-
- Critical Access Hospital
- Fairfax, OK
- NPI 1295362564
-
- Rural Acute Care Hospital
- Blackwell, OK
- NPI 1104375237
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
-
- Rehabilitation Hospital Unit
- Stillwater, OK
- NPI 1336111830
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124169008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 STANTON L YOUNG BLVD",
"address_2": "BMSB 357",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 NE 13TH ST",
"address_2": "3N3409",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045008",
"telephone_number": "405-271-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "24560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.