Active NPI
Mason Payne, MD
- Family Medicine Physician
- Fredericksburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- V2212
- Practice address
- 514 W Windcrest St
Fredericksburg, TX 78624-4633 - Phone
- (830) 977-0330
- NPI assigned
- May 16, 2022
- Last updated
- Jul 10, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | V2212 | TX | Primary |
Addresses
Primary practice location
514 W Windcrest St
Fredericksburg, TX 78624-4633
Mailing address
514 W Windcrest St
Fredericksburg, TX 78624-4633
Phone (830) 977-0330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 Texas at Austin Dell Medical School, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
514 W Windcrest St
Fredericksburg, TX 78624-4633
Phone (830) 997-0330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fredericksburg Family Clinic PA | Family Medicine | Current | Accepting new patients |
| DCS Medical PA | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients | |
| Fredericksburg Family Clinic PA | Family Medicine | Current | Accepting new patients |
Locations
1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015
3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cornerstone Clinic at Comfort
- Family Medicine Physician
- Comfort, TX
- NPI 1053464982
-
dba Cornerstone Clinic
- Family Medicine Physician
- Fredericksburg, TX
- NPI 1306917141
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital Hill Country
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
dba Peterson Regional Medical Center
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1417694035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 W WINDCREST ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244633",
"telephone_number": "830-977-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 W WINDCREST ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244633",
"telephone_number": "830-977-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "MASON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-16",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "V2212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.