TROY A PAYNE MD
NPI 1083682561
Internal Medicine - Sleep Medicine in St Cloud, MN

Q: What is Troy Payne's NPI number?

The NPI number for Troy Payne is 1083682561. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Troy Payne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Q: When was this NPI record last updated?

The NPPES record for Troy Payne was last updated on November 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment

1200 SIXTH AVE N, CENTRA CARE CLINIC, ST CLOUD, MN 56303(320) 251-0726(302) 229-5188 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Troy A Payne Md NPPES

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

TROY A PAYNE MD (NPI 1083682561) is an individual sleep medicine provider in St Cloud, Minnesota, licensed in Minnesota (40591) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of University Of Louisville School Of Medicine (1992).

NPPES Registry Identity

NPI1083682561

Entity TypeIndividualMale

Primary Taxonomy207RS0012X

Provider Legal NameTROY A PAYNECredential: MD

Location Address1200 SIXTH AVE N, CENTRA CARE CLINICSt Cloud, MN 56303

Mailing Address1200 Sixth Ave N, Centra Care ClinicSt Cloud, MN 56303 · (320) 252-5131

Phone(320) 251-0726

Fax(302) 229-5188

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1992

Enumeration DateMarch 9, 2006

Last NPPES UpdateNovember 30, 2020

NPPES CertifiedNovember 30, 2020

✔ NPI 1083682561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0012X

License✔ Licensed in MN · 40591

Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 40591 (MN)

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 40591 (MN)

1200 SIXTH AVE N, St Cloud, MN 56303

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Other Identifiers 1

Medicaid998517400MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Troy A Payne 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 ID1759316318

PECOS Enrollment IDI20070424000061

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 10

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.

210 services193 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.

94 services88 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

91 services91 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.

67 services67 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

44 services44 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

28 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Alomere Health

Acute Care Hospitals · Alexandria, MN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240030

Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County

Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

St Gabriels Hospital

Critical Access Hospitals · Little Falls, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241370

Location815 Southeast Second StreetLittle Falls, MN 56345 · Morrison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 18

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