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ANDREW N PAYNE M.D.
NPI 1083058531
Emergency Medicine in Albany, NY

Active since April 25, 2013PECOS EnrolledAccepts Medicare Assignment
47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE, ALBANY, NY 12208(518) 262-3095 Get Directions Write a Review

NPPES record last updated: July 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrew N Payne M.d. NPPES

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

ANDREW N PAYNE M.D. (NPI 1083058531) is an individual emergency medicine provider in Albany, New York, licensed in New York (283829-1) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of West Virginia University School Of Medicine (2013).

NPPES Registry Identity

NPI1083058531
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREW N PAYNECredential: M.D.
Location Address47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINEAlbany, NY 12208-3412
Mailing Address47 New Scotland Ave, Department Of Emergency MedicineAlbany, NY 12208-3412 · (518) 262-3095
Phone(518) 262-3095
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2013
Enumeration DateApril 25, 2013
Last NPPES UpdateJuly 30, 2016
✔ NPI 1083058531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 283829-1
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 63370 (NY)
47 NEW SCOTLAND AVE, Albany, NY 12208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew N Payne M.d. 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 ID5698060168
PECOS Enrollment IDI20160823001041, I20200609001308
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Andrew Payne reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elizabethtown Community Hospital
108 mi
General Practice
75 PARK STREET
Elizabethtown, NY 12932
  • Reassigned Medicare billing, New York enrollment
  • 219 clinicians in this Medicare group
NPI 1053656744 (518) 873-9000
University Of Vermont Medical Center Inc
129 mi
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
NPI 1659309615 (802) 847-0000
Champlain Valley Physicians Hospital Medical Center
142 mi
General Acute Care Hospital
75 BEEKMAN ST
Plattsburgh, NY 12901
  • Reassigned Medicare billing, New York enrollment
  • 675 clinicians in this Medicare group
NPI 1033270699 (518) 561-2000
Charleston Area Medical Center Inc
469 mi
Multi-Specialty
407 MAIN ST STE 1
Belpre, OH 45714
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1588422547 (740) 315-5709

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
203 services198 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
176 services168 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
53 services52 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
46 services45 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

AMC
Psychiatric Hospital
47 NEW SCOTLAND AVE, PSYCHIATRY DEPARTMENT
ALBANY, NY 12208
Albany County (516) 547-3032
BRIANNA SAMSON PA-C
Physician Assistant (Medical)
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5332
VILOK DESAI
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE, DEPARTMENT OF OTOLARYNGOLOGY
ALBANY, NY 12208
Albany County (518) 264-5578
TAYLOR SEKYRA
Physician Assistant
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5521
DR. TODD BEYER MD
Surgery
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5623
ROBIN M GRAY FNP
Nurse Practitioner
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3480
MR. SREENIVAS GARLA MD
Radiology (Neuroradiology)
47 NEW SCOTLAND AVE, RADIOLOGY DEPT
ALBANY, NY 12208
Albany County (518) 262-3277
DR. KRISTEN MORGAN PEACE M.D.
Emergency Medicine
47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE
ALBANY, NY 12208
Albany County (518) 262-3773

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 Andrew Payne's NPI number?

The NPI number for Andrew Payne is 1083058531. It was assigned to this individual provider in the NPPES registry on April 25, 2013.

Where is Andrew Payne located?

Andrew Payne practices at 47 New Scotland Ave Department Of Emergency Medicine, Albany, NY 12208. The listed phone number is (518) 262-3095.

What is Andrew Payne's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Payne enrolled in Medicare?

Yes. Andrew Payne 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.

Which organizations bill Medicare for Andrew Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Payne reassigns Medicare benefits to 4 organizations: Elizabethtown Community Hospital (Elizabethtown, NY), University Of Vermont Medical Center Inc (Burlington, VT), Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY) and Charleston Area Medical Center Inc (Belpre, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrew Payne affiliated with any hospitals?

According to CMS data, Andrew Payne is affiliated with Champlain Valley Physicians Hospital Medical Ctr.

When was this NPI record last updated?

The NPPES record for Andrew Payne was last updated on July 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.