Individual provider Active NPI

Robert Payne, M.D.

  • Family Medicine Physician
  • Clear Lake, SD
National Provider Identifier
1184038580
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13087 Issued in SD
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

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0001-0205178OtherMEDICA
1184038580OtherMNBCBS OF MINNESOTA
1184038580MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524000107 MN Practitioner - Family Practice 3476857798 Reassigns benefits to 9 organizations

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
Appleton Area HealthGroup PAC ID 7618952565, 18 clinicians

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 Hospital, Appleton, MN, CCN 241341
  • Appleton Area Health Nursing home, CCN 24Z341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59527MNMDFamily Medicine Physician
13087SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake View Memorial Hospital, Inc CurrentSince Dec 20, 2022 Accepting new patients
Johnson Memorial Health Services CurrentSince Jun 29, 2023 Accepting new patients
Centracare Health - Benson LLC CurrentSince Jan 17, 2023 Accepting new patients
Carris Health - Redwood LLC Current Accepting new patients
Johnson Memorial Health Services CurrentSince Jun 29, 2023 Accepting new patients
County of Meeker CurrentSince Jul 3, 2017 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 CurrentSince Jan 17, 2023 Accepting new patients
County of Meeker CurrentSince Jul 3, 2017 Accepting new patients
Appleton Area Health Current Accepting new patients
Redwood Area Hospital Current Accepting new patients
Carris Health - Redwood LLC CurrentSince Sep 1, 2022 Accepting new patients
Lake View Memorial Hospital, Inc. CurrentSince Dec 20, 2022 Accepting new patients
Carris Health - Redwood LLC CurrentSince Sep 1, 2022 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

  • Direct secure messaging: robert.payne.payrob@lkv.direct.slhduluth.com
  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.