Organization Active NPI

Stephen L Payne, MD, PC

  • Family Medicine Physician
  • Williamstown, MA
National Provider Identifier
1457518193
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58444 Issued in MA
Legal business name
STEPHEN L PAYNE, MD, PC
Practice address
227 Adams Road
Williamstown, MA 01267-2932
Phone
(413) 458-0112
Fax
(413) 458-5114
NPI assigned
May 20, 2008
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Stephen L Payne, M.DNPI 1134190150
Title
Owner
Phone
(413) 458-0112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58444 MA Primary

Addresses

Primary practice location

227 Adams Road
Williamstown, MA 01267-2932

Mailing address

227 Adams Road
Williamstown, MA 01267-2932
Phone (413) 458-0112

Other identifiers 4

IdentifierTypeStateIssuer
J30129OtherBLUE CROSS BLUE SHIELD
110082118AMedicaidMA
DO0293OtherRAILROAD MEDICARE
3116247MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000199 MA Part B Supplier - Clinic/Group Practice 4284705294 Receives reassigned benefits from 2 practitioners
Practice locations: Williamstown, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1087548Stephen L Payne MD PC227 Adams Road, Williamstown, MA 01267Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Locations

227 Adams Rd
Williamstown, MA 01267
Phone (413) 458-0112

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13840/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1457518193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 ADAMS ROAD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672932",
            "telephone_number": "413-458-0112",
            "fax_number": "413-458-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 ADAMS ROAD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672932",
            "telephone_number": "413-458-0112",
            "fax_number": "413-458-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L PAYNE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-458-0112",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "58444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J30129",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110082118A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO0293",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3116247",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.