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ETHAN RYAN PAYTON MD
NPI 1053998013
Family Medicine in Beverly Hills, CA

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
8820 WILSHIRE BLVD STE 110, BEVERLY HILLS, CA 90211(424) 315-0776 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jun 25, 2024, Mar 25, 2021 (3 updates tracked since 2021).

About Ethan Ryan Payton Md NPPES

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

ETHAN RYAN PAYTON MD (NPI 1053998013) is an individual family medicine provider in Beverly Hills, California, licensed in California (A194641) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Washington University School Of Medicine (2021).

NPPES Registry Identity

NPI1053998013
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameETHAN RYAN PAYTONCredential: MD
Location Address8820 WILSHIRE BLVD STE 110Beverly Hills, CA 90211-2620
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(424) 315-0776
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1053998013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A194641
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8820 WILSHIRE BLVD STE 110, Beverly Hills, CA 90211
Open in Google Maps ↗

Secondary Practice Location 1

Location 11245 16th St Ste 309Santa Monica, CA 90404-1239 · Phone (310) 319-4377 · Fax (509) 626-9917

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

Ethan Ryan Payton Md 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 ID8729435029
PECOS Enrollment IDI20240514003082
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90211 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL SEIBERT MD
Internal Medicine
8820 WILSHIRE BLVD STE 110
BEVERLY HILLS, CA 90211
Los Angeles County (424) 315-0776
DR. KRISHNA JOTHIKUMAR MD
Family Medicine
8820 WILSHIRE BLVD STE 110
BEVERLY HILLS, CA 90211
Los Angeles County (310) 423-4945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Payton's NPI number?

The NPI number for Ethan Payton is 1053998013. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Ethan Payton located?

Ethan Payton practices at 8820 Wilshire Blvd Ste 110, Beverly Hills, CA 90211. The listed phone number is (424) 315-0776.

What is Ethan Payton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ethan Payton enrolled in Medicare?

Yes. Ethan Payton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ethan Payton was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.