Todd E. Payne, D.O.
Individual provider Active NPI Anesthesiology Physician · Portland, OR
NPI 1699090233 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1699090233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- DO190707 (OR)
- Practice address
- 10123 SE Market St
Portland, OR 97216-2532 - Phone
- (503) 257-2500
- NPI assigned
- Apr 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Portland Adventist Medical Center
Practice addresses (Care Compare)
10123 SE Market St
Portland, OR 97216-2532
Phone (503) 257-2500
Hospital & facility affiliations
- Adventist Health Portland
- Christus St Michael Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 84.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150208000003 | MA | Practitioner - Anesthesiology | 3375787872 | Reassigns benefits to 1 organization |
| I20190201002415 | OR | Practitioner - Anesthesiology | 3375787872 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO190707 | OR | MD | Anesthesiology Physician |
| 258859 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Anesthesia Service, Inc. | Single Specialty | Current |
Accepting new patients |
| Portland Adventist Medical Center | Single Specialty | Current |
Accepting new patients |
| Portland Adventist Medical Center | Single Specialty | Current |
Accepting new patients |
| Umass Memorial Medical Group Inc | Single Specialty | Past | Accepting new patients |
| Oag Trauma Services LLC | Single Specialty | Past |
Accepting new patients |
Locations
908 Allen St
Springfield, MA 01118
Phone (413) 732-5139
10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880
10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355
Interoperability endpoints
- tpayne154717@direct.ohsu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | DO190707 | OR | Yes |
| Anesthesiology Physician | 207L00000X | 258859 | MA |
Addresses
Primary practice location
10123 SE Market St
Portland, OR 97216-2532
Mailing address
1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R206236 | Other | OR | ANESTHESIOLOGY |
| 500755593 | Medicaid | OR |
Other providers in Portland, OR
- Lisa Marie Payne
- Molly Payne
- Pepita Louise Payne
- Roxanne M Payne
- Susan D Payne
- Tyson Dee Payne Payne
- Kelly Nelson Paynter
- Nathan Payton
- Paz & Bloom LLC
- Paz & Bloom LLC
All providers in Portland, OR · Anesthesiology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.