Active NPI
Robert Payne, M.D.
- Family Medicine Physician
- Clear Lake, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13087
- Practice address
- 701 3Rd Ave S
Clear Lake, SD 57226-2016 - Phone
- (605) 874-2141
- NPI assigned
- Jun 13, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 59527 | MN | |
| Family Medicine Physician | 207Q00000X | 13087 | SD | Primary |
Addresses
Primary practice location
701 3Rd Ave S
Clear Lake, SD 57226-2016
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other practice location 1
330 N 8th Ave E
Duluth, MN 55805-2024
Phone (218) 723-1112
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001-0205178 | Other | MEDICA | |
| 1184038580 | Other | MN | BCBS OF MINNESOTA |
| 1184038580 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpayne482457@direct.centracare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Family Practice
- Education
- University of Minnesota Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 S Behl St
Appleton, MN 56208-1616
Phone (320) 289-2422
323 W Schlieman Ave
Appleton, MN 56208-1213
Hospital & facility affiliations
- Appleton Area Health
- Appleton Area Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59527 | MN | MD | Family Medicine Physician |
| 13087 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake View Memorial Hospital, Inc | Current | Accepting new patients | |
| Johnson Memorial Health Services | Current | Accepting new patients | |
| Centracare Health - Benson LLC | Current | Accepting new patients | |
| Carris Health - Redwood LLC | Current | Accepting new patients | |
| Johnson Memorial Health Services | Current | Accepting new patients | |
| County of Meeker | Current | Accepting new patients | |
| Swift County Benson Hospital | Family Medicine | Current | Accepting new patients |
| Johnson Memorial Health Services | Current | Accepting new patients | |
| St. Francis Medical Center | Current | Accepting new patients | |
| Centracare Health - Benson LLC | Current | Accepting new patients | |
| County of Meeker | Current | Accepting new patients | |
| Appleton Area Health | Current | Accepting new patients | |
| Redwood Area Hospital | Current | Accepting new patients | |
| Carris Health - Redwood LLC | Current | Accepting new patients | |
| Lake View Memorial Hospital, Inc. | Current | Accepting new patients | |
| Carris Health - Redwood LLC | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454
1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323
612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242
101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911
325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520
Interoperability endpoints
- robert.payne.payrob@lkv.direct.slhduluth.com
- rpayne482457@direct.centracare.com
Organizations & group practices 17
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.
-
- Critical Access Hospital
- Appleton, MN
- NPI 1578590626
-
- Emergency Medicine Physician
- Redwood Falls, MN
- NPI 1265914048
-
- Critical Access Hospital
- Benson, MN
- NPI 1326757154
-
- Rural Health Clinic/Center
- Litchfield, MN
- NPI 1083221816
-
- Medicare Defined Swing Bed Hospital Unit
- Dawson, MN
- NPI 1770697260
-
- Critical Access Hospital
- Two Harbors, MN
- NPI 1023067642
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1639162381
-
- Rural Health Clinic/Center
- Appleton, MN
- NPI 1730126673
-
- Home Health Agency
- Redwood Falls, MN
- NPI 1386126167
-
- Rural Health Clinic/Center
- Redwood Falls, MN
- NPI 1396216412
-
- Rural Health Clinic/Center
- Benson, MN
- NPI 1023728516
-
- Medicare Defined Swing Bed Hospital Unit
- Litchfield, MN
- NPI 1578718482
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Appleton, MN
- NPI 1578590626
-
- Nursing Facility/Intermediate Care Facility
- Appleton, MN
- NPI 1649333923
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1184038580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-6585",
"fax_number": "605-312-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 3RD AVE S",
"city": "CLEAR LAKE",
"state": "SD",
"postal_code": "572262016",
"telephone_number": "605-874-2141"
}
],
"practiceLocations": [
{
"address_1": "330 N 8th Ave E",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558052024",
"country_code": "US",
"telephone_number": "218-723-1112",
"fax_number": "218-529-9120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "59527",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "13087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0001-0205178",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MINNESOTA",
"identifier": "1184038580",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184038580",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpayne482457@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "rpayne482457@direct.centracare.com",
"address_1": "101 Caring Way",
"city": "Redwood Falls",
"state": "MN",
"country_code": "US",
"postal_code": "562832624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clear Lake, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.