CARLY PAYNE PA-C
NPI 1023635380
Physician Assistant in Lees Summit, MO

Q: What is Carly Payne's NPI number?

The NPI number for Carly Payne is 1023635380. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Q: What is Carly Payne's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Carly Payne was last updated on June 18, 2024. 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 July 01, 2020PECOS EnrolledAccepts Medicare Assignment

2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064(816) 525-2840(816) 525-2841 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Jan 5, 2021, Sep 16, 2020 and 1 more (4 updates tracked since 2020).

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About Carly Payne Pa-c NPPES

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

CARLY PAYNE PA-C (NPI 1023635380) is an individual physician assistant in Lees Summit, Missouri, licensed in Missouri (2020027179) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and maintains a secondary practice location in Overland Park.

NPPES Registry Identity

NPI1023635380

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCARLY PAYNECredential: PA-C

Location Address2861 NE INDEPENDENCE AVE STE 201Lees Summit, MO 64064-2379

Mailing Address2861 Ne Independence Ave Ste 201Lees Summit, MO 64064-2379 · (816) 525-2840 · Fax (816) 525-2841

Phone(816) 525-2840

Fax(816) 525-2841

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 1, 2020

Last NPPES UpdateJune 18, 20244 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1023635380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MO · 2020027179✔ Licensed in KS · 1502351

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2861 NE INDEPENDENCE AVE STE 201, Lees Summit, MO 64064

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Secondary Practice Location 1

Location 111340 Nall Ave Ste 200Overland Park, KS 66211-1234 · Phone (816) 525-2840 · Fax (816) 525-2841

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, UnitedHealthcare.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

Carly Payne Pa-c 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 ID7719302983

PECOS Enrollment IDI20200805000381, I20220420002099

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 5

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.

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.

49 services42 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

30 services30 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

22 services22 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

20 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number170185

Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County

Emergency services

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260095

Location19600 East 39th StreetIndependence, MO 64057 · Jackson County

Emergency services Birthing friendly

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipProprietary

CMS Certification Number260190

Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County

Emergency services

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260216

Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64064 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 20

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

ADVANCED ORTHOPEDICS AND SPORTS MEDICINE

Orthopaedic Surgery