Active NPI
Damon Payton, DPM
- Foot & Ankle Surgery Podiatrist
- Florissant, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 16005263
- Practice address
- 2175 Orleans LN
Florissant, MO 63031-2111 - Phone
- (646) 623-0120
- Fax
- (314) 480-7162
- NPI assigned
- Jul 4, 2006
- Last updated
- Feb 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 16005263 | IL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 6057 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2006013232 | MO |
Addresses
Primary practice location
2175 Orleans LN
Florissant, MO 63031-2111
Mailing address
2175 Orleans LN
Florissant, MO 63031-2111
Phone (646) 623-0120
Other practice location 1
1001 Morgan St
Carlinville, IL 62626-1448
Phone (646) 623-0120
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0732240001 | Other | DMERC # WITH PPG | |
| 1649200502 | Medicaid | MO | |
| 016005293 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, VA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3009 N Ballas Rd
Saint Louis, MO 63131-2322
Phone (314) 432-1111
3300 Texas Ave
Saint Louis, MO 63118-3111
Phone (314) 773-3408
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 15 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1322 |
| Removal or shaving of skin growth | 142 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006057 | NY | MD | Acupuncturist |
| 16005263 | IL | MD | Foot & Ankle Surgery Podiatrist |
| 2006013232 | MO | MD | Foot & Ankle Surgery Podiatrist |
| 6057 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onhealthcare LLC | Current | Accepting new patients | |
| St Louis Medical Clinic, P.C. | Current | Accepting new patients | |
| Onhealthcare, LLC | Current | Accepting new patients | |
| Onhealthcare LLC | Current | Accepting new patients | |
| Family Foot and Ankle Care | Past | Accepting new patients | |
| Community Living Options Inc | Past | Accepting new patients | |
| St Louis University | Past | Accepting new patients | |
| Physical Therapy Consultants, Inc | Past | Accepting new patients | |
| Thomas H. Nolen, D.P.M., P.C. | Foot & Ankle Surgery | Past | Accepting new patients |
| Thomas H. Nolen, D.P.M., P.C. | Foot & Ankle Surgery | Past | Accepting new patients |
| Primehealth of Kentucky LLC | Past | Accepting new patients |
Locations
8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
1400 Lemay Ferry Rd
Saint Louis, MO 63125
Phone (314) 338-7955
3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDDCDD
Organizations & group practices 12
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.
-
- Infusion Therapy Clinic/Center
- Saint Louis, MO
- NPI 1174505127
-
- Social Worker
- Indianapolis, IN
- NPI 1114681681
-
- Podiatrist
- Maryland Heights, MO
- NPI 1053351882
-
- Physical Therapist
- Saint Louis, MO
- NPI 1720028566
-
dba Freeburg Terrace
- Intellectual Disabilities Intermediate Care Facility
- Freeburg, IL
- NPI 1205008653
-
- Podiatrist
- Louisville, KY
- NPI 1922551308
-
- Foot & Ankle Surgery Podiatrist
- Mount Vernon, IL
- NPI 1790851665
-
- Foot & Ankle Surgery Podiatrist
- Centralia, IL
- NPI 1912072968
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1649200502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 ORLEANS LN",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630312111",
"telephone_number": "646-623-0120",
"fax_number": "314-480-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 ORLEANS LN",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630312111",
"telephone_number": "646-623-0120",
"fax_number": "314-480-7162"
}
],
"practiceLocations": [
{
"address_1": "1001 Morgan St",
"address_purpose": "LOCATION",
"city": "Carlinville",
"state": "IL",
"postal_code": "626261448",
"country_code": "US",
"telephone_number": "646-623-0120",
"fax_number": "314-436-8821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYTON",
"first_name": "DAMON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "16005263",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "6057",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "2006013232",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC # WITH PPG",
"identifier": "0732240001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649200502",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016005293",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.