DR. CASEY LEE PAYNE DO
NPI 1093100638
Internal Medicine in San Antonio, TX
About Dr. Casey Lee Payne Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CASEY LEE PAYNE DO (NPI 1093100638) is an individual internal medicine provider in San Antonio, Texas, licensed in Hawaii (1999) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and maintains a secondary practice location in Ewa Beach.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Casey Lee Payne Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Casey Payne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Honolulu, HI 96825
- Reassigned Medicare billing, Hawaii enrollment
- 809 clinicians in this Medicare group
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 859 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Queens Medical Center
Acute Care Hospitals · Honolulu, HIPali Momi Medical Center
Acute Care Hospitals · Aiea, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
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 Casey Payne's NPI number?
The NPI number for Casey Payne is 1093100638. It was assigned to this individual provider in the NPPES registry on March 31, 2015.
Where is Casey Payne located?
Casey Payne practices at 3551 Roger Brooke Dr, San Antonio, TX 78234. The listed phone number is (210) 916-2460.
What is Casey Payne's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Casey Payne enrolled in Medicare?
Yes. Casey 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 Casey Payne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Casey Payne reassigns Medicare benefits to 2 organizations: The Queens Medical Center (Honolulu, HI) and Queens University Medical Group (Honolulu, HI). 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 Casey Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Casey Payne affiliated with any hospitals?
According to CMS data, Casey Payne is affiliated with The Queens Medical Center and Pali Momi Medical Center.
When was this NPI record last updated?
The NPPES record for Casey Payne was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Casey Lee Payne, DO · NPI 1093100638
Internal Medicine physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since March 31, 2015.
## Identity
- **NPI:** 1093100638 (Entity type: Individual)
- **Enumerated:** March 31, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 1999 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 3551 ROGER BROOKE DR, San Antonio, TX 78234-4504
- **Phone:** (210) 916-2460
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Queens Medical Center (NPI 1528691383, Honolulu, HI); Queens University Medical Group (NPI 1891441382, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093100638) · Data from the CMS NPPES public registry.