MATTHEW PAYNE MD
NPI 1124169008
Pediatrics in Oklahoma City, OK

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
91.18/100
CMS Quality Rating
940 NE 13TH ST, 3N3409, OKLAHOMA CITY, OK 73104(405) 271-4417 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Payne Md NPPES

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

MATTHEW PAYNE MD (NPI 1124169008) is an individual pediatrics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (24560) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of University Of Oklahoma College Of Medicine (2005).

NPPES Registry Identity

NPI1124169008
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW PAYNECredential: MD
Location Address940 NE 13TH ST, 3N3409Oklahoma City, OK 73104-5008
Mailing Address940 Stanton L Young Blvd, Bmsb 357Oklahoma City, OK 73104-5020
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2005
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1124169008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OK · 24560
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

940 NE 13TH ST, Oklahoma City, OK 73104

Accepted 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

Matthew 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 ID5092845347
PECOS Enrollment IDI20100611000631
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
529 services260 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
267 services249 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
150 services142 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
147 services92 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
128 services124 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.
82 services40 patients

Hospital Affiliations CMS Care Compare 4

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370049
Location1323 West 6th StreetStillwater, OK 74076 · Payne County
Emergency services Birthing friendly

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipPhysician
CMS Certification Number370215
Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services

Rural Wellness Fairfax Hospital

Critical Access Hospitals · Fairfax, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number371318
Location40 Hospital RoadFairfax, OK 74637 · Osage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers30 claims30 services$19.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers40 claims40 services$114.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
940 NE 13TH ST
OKLAHOMA CITY, OK 73104
Radiology (Diagnostic Radiology)
940 NE 13TH ST, 4G4250
OKLAHOMA CITY, OK 73104
Radiology (Diagnostic Radiology)
940 NE 13TH ST, 4G4250
OKLAHOMA CITY, OK 73104
Emergency Medicine
940 NE 13TH ST
OKLAHOMA CITY, OK 73104
Radiology (Diagnostic Radiology)
940 NE 13TH ST
OKLAHOMA CITY, OK 73104
Psychologist
940 NE 13TH ST, 3B3406
OKLAHOMA CITY, OK 73104
Radiology (Diagnostic Radiology)
940 NE 13TH ST
OKLAHOMA CITY, OK 73104
Radiology (Diagnostic Radiology)
940 NE 13TH ST, 4G4200
OKLAHOMA CITY, OK 73104

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 Matthew Payne's NPI number?

The NPI number for Matthew Payne is 1124169008. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Matthew Payne located?

Matthew Payne practices at 940 NE 13th St 3n3409, Oklahoma City, OK 73104. The listed phone number is (405) 271-4417.

What is Matthew Payne's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Payne enrolled in Medicare?

Yes. Matthew 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 Matthew Payne accept?

Health plans from Medica and Mending Health list Matthew 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.

Is Matthew Payne affiliated with any hospitals?

According to CMS data, Matthew Payne is affiliated with Integris Baptist Medical Center, Inc, Stillwater Medical Center, Oklahoma Heart Hospital, LLC and Rural Wellness Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Payne was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.