Individual provider Active NPI

Phileemon Eric Payne, M.D.

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1548449952
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
N3986 Issued in TX
Practice address
920 Frostwood Dr
Suite 690
Houston, TX 77024-2314
Phone
(713) 461-8866
NPI assigned
Nov 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X N3986 TX Primary

Addresses

Primary practice location

920 Frostwood Dr
Suite 690
Houston, TX 77024-2314

Mailing address

920 Frostwood Dr
Suite 690
Houston, TX 77024-2314
Phone (713) 461-8866

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000616 TX Practitioner - Plastic and Reconstructive Surgery 8628226743 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Loma Linda University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

929 Gessner Rd
Suite 2250
Houston, TX 77024-2664
Phone (713) 461-8866

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Plastic Surgery PLLC CurrentSince Apr 1, 2014 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Childrens Plastic Surgery PLLC Plastic Surgery CurrentSince Jul 1, 2012 Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 15, 2016 Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 15, 2016 Accepting new patients
Pediatric Plastic Surgery, PLLC Past Accepting new patients

Locations

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

920 Frostwood Dr
Ste 690
Houston, TX 77024
Phone (713) 461-8866

929 Gessner Rd
Ste 2250
Houston, TX 77024
Phone (713) 461-8866

6977 Main St
Houston, TX 77030
Phone (713) 793-3700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1548449952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FROSTWOOD DR",
            "address_2": "SUITE 690",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242314",
            "telephone_number": "713-461-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FROSTWOOD DR",
            "address_2": "SUITE 690",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242314",
            "telephone_number": "713-461-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "PHILEEMON",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N3986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.