NPIMap

Individual provider Active NPI

Michael S Payne, MD

  • Family Medicine Physician
  • Mt Washington, KY
National Provider Identifier
1467554808
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34039 Issued in KY
Practice address
532 N Bardstown Rd
Mt Washington, KY 40047
Phone
(502) 538-4800
Fax
(502) 538-3040
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34039 KY Primary

Addresses

Primary practice location

532 N Bardstown Rd
Mt Washington, KY 40047

Mailing address

532 N Bardstown Rd
PO Box 67
Mt Washington, KY 40047
Phone (502) 538-4800

Other identifiers 6

IdentifierTypeStateIssuer
P00080686OtherRAILROAD MEDICARE
2443395000OtherPASSPORT ADVANTAGE
50001836OtherKYPASSPORT
64011109MedicaidKY
7088131OtherAETNA
000000306485OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000182 KY Practitioner - Family Practice 6901702323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Suite 118
Louisville, KY 40299-5496
Phone (502) 267-1480

4402 Churchman Ave
Suite 202
Louisville, KY 40215-3100
Phone (502) 366-1090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Family Medicine CurrentSince Jan 6, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 6, 2023 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

4402 Churchman Ave
Ste 202
Louisville, KY 40215
Phone (502) 636-3134

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

532 N Bardstown Rd
Mt Washington, KY 40047
Phone (502) 538-4800

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.

Hospital & facility affiliations 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1467554808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 N BARDSTOWN RD",
            "address_2": "PO BOX 67",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "40047",
            "telephone_number": "502-538-4800",
            "fax_number": "502-538-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 N BARDSTOWN RD",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "40047",
            "telephone_number": "502-538-4800",
            "fax_number": "502-538-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00080686",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2443395000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50001836",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64011109",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7088131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000306485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

Verify at the official NPI Registry.