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PAYSON AYER-DUFNER PA-C
NPI 1124424379
Physician Assistant in Keene, NH

Active since November 17, 2014PECOS EnrolledAccepts Medicare Assignment
78.61/100
CMS Quality Rating
590 COURT ST, DHC - ORTHO, KEENE, NH 03431(603) 354-5482 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Payson Ayer-dufner Pa-c NPPES

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

PAYSON AYER-DUFNER PA-C (NPI 1124424379) is an individual physician assistant in Keene, New Hampshire, licensed in New Hampshire (1055) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124424379
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAYSON AYER-DUFNERCredential: PA-C
Location Address590 COURT ST, DHC - ORTHOKeene, NH 03431-1719
Mailing Address590 Court St, Dhc - OrthoKeene, NH 03431-1719 · (603) 354-5482
Phone(603) 354-5482
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 17, 2014
Last NPPES UpdateDecember 1, 2014
✔ NPI 1124424379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NH · 1055
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
590 COURT ST, Keene, NH 03431
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Payson Ayer-dufner Pa-c 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 ID7214250851
PECOS Enrollment IDI20150106001809
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 7

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.
94 services75 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.
90 services74 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
41 services31 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.
29 services29 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
16 services13 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03431 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
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.

78.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.22
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier19 claims20 services$30.34 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier14 claims18 services$58.83 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.

KRISTIE N LA MONICA PA
Physician Assistant (Medical)
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5496
DR. LESLIE THOMAS PITTS M.D.
Family Medicine
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5454
DR. HEIDI FEDRIZZI RINEHART MD
Obstetrics & Gynecology
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
MRS. JESSE R RIDGWAY CNM
Advanced Practice Midwife
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-6534
DR. OLIVIER P VAN HOUTTE MD
Surgery
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
DR. MURPHY R NEENAN APRN
Nurse Practitioner (Family)
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
DR. PAUL C. BETTINGER M.D.
Orthopaedic Surgery (Hand Surgery)
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5454
MICHELE L PARR CRNA
Nurse Anesthetist, Certified Registered
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-6534

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 Payson Ayer-dufner's NPI number?

The NPI number for Payson Ayer-dufner is 1124424379. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Where is Payson Ayer-dufner located?

Payson Ayer-dufner practices at 590 Court St Dhc - Ortho, Keene, NH 03431. The listed phone number is (603) 354-5482.

What is Payson Ayer-dufner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Payson Ayer-dufner enrolled in Medicare?

Yes. Payson Ayer-dufner 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 Payson Ayer-dufner accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Payson Ayer-dufner 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 Payson Ayer-dufner affiliated with any hospitals?

According to CMS data, Payson Ayer-dufner is affiliated with Mary Hitchcock Memorial Hospital and Cheshire Medical Center.

When was this NPI record last updated?

The NPPES record for Payson Ayer-dufner was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.