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DR. JERRY M PAYNE DC
NPI 1114913613
Chiropractor in Port Angeles, WA

Active since September 21, 2005Accepts Medicare Assignment
1217 E 1ST ST, PORT ANGELES, WA 98362(360) 452-3017(360) 452-4100 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerry M Payne Dc NPPES

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

DR. JERRY M PAYNE DC (NPI 1114913613) is an individual chiropractor in Port Angeles, Washington, licensed in Washington (CH00003603) and active in the NPI registry since September 2005. He is a graduate of Palmer College Chiropractic - West Sunnyvale (1998).

NPPES Registry Identity

NPI1114913613
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERRY M PAYNECredential: DC
Location Address1217 E 1ST STPort Angeles, WA 98362-4301
Mailing Address1217 E 1st StPort Angeles, WA 98362-4301 · (360) 452-3017 · Fax (360) 452-4100
Phone(360) 452-3017
Fax(360) 452-4100
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1998
Enumeration DateSeptember 21, 2005
Last NPPES UpdateDecember 28, 2007
✔ NPI 1114913613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00003603
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1217 E 1ST ST, Port Angeles, WA 98362
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Other Identifiers 5

Medicare PING8851005WA
Medicare UPINU71990
Medicaid2022861WA
Other124952WA · L And I
OtherG8851006WA · Medicare Group Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence 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

Dr. Jerry M Payne Dc 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 ID1153382957
PECOS Enrollment IDI20041025000885

Areas of Expertise CMS Part B claims 2

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
1,253 services214 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
954 services214 patients

Other Providers at the Same Location NPPES

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

JERRY M PAYNE D.C., INC
Chiropractor
1217 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-3017

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 Jerry Payne's NPI number?

The NPI number for Jerry Payne is 1114913613. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Jerry Payne located?

Jerry Payne practices at 1217 E 1st St, Port Angeles, WA 98362. The listed phone number is (360) 452-3017.

What is Jerry Payne's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jerry Payne enrolled in Medicare?

Yes. Jerry 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.

What insurance does Jerry Payne accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jerry Payne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Payne was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.