RACHEL PAYNE NP
NPI 1003139502
Nurse Practitioner - Family in Knoxville, TN

Q: What is Rachel Payne's NPI number?

The NPI number for Rachel Payne is 1003139502. It was assigned to this individual provider in the NPPES registry on March 11, 2010.

Q: What is Rachel Payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Payne was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 11, 2010PECOS EnrolledAccepts Medicare Assignment

99.59/100

CMS Quality Rating

501 20TH ST STE 505, KNOXVILLE, TN 37916(865) 546-0157(865) 374-2177 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rachel Payne Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL PAYNE NP (NPI 1003139502) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (14847) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Oak Ridge, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1003139502

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRACHEL PAYNECredential: NP

Location Address501 20TH ST STE 505Knoxville, TN 37916-1869

Mailing Address501 20th St Ste 505Knoxville, TN 37916-1869 · (865) 546-0157 · Fax (865) 374-2177

Phone(865) 546-0157

Fax(865) 374-2177

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2010

Enumeration DateMarch 11, 2010

Last NPPES UpdateDecember 18, 2023

NPPES CertifiedDecember 18, 2023

✔ NPI 1003139502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 14847

501 20TH ST STE 505, Knoxville, TN 37916

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Secondary Practice Location 1

Location 1300 Prosperity Rd, Suite 103Knoxville, TN 37923-4717 · Phone (865) 246-0143 · Fax (865) 246-0146

Other Identifiers 1

Medicaid1522295TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Payne Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779775523

PECOS Enrollment IDI20101012000412

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

4,200 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

161 services149 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

113 services99 patients

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615

This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.

24 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440034

Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County

Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440125

Location1901 W Clinch AveKnoxville, TN 37916 · Knox County

Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440173

Location9352 Park West BlvdKnoxville, TN 37923 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.54

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers17 claims17 services$38.68 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers13 claims13 services$86.97 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers13 claims38 services$36.88 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers12 claims12 services$17.23 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers17 claims97 services$2.26 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier11 claims11 services$63.78 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL RYAN MD

Psychiatry & Neurology (Epilepsy)