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ALEXIS PAYNE MD
NPI 1134816424
Pediatrics in Gaylord, MI

Active since April 18, 2023PECOS Enrolled
829 N CENTER AVE STE 130, GAYLORD, MI 49735(989) 731-7930(989) 731-7948 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexis Payne Md NPPES

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

ALEXIS PAYNE MD (NPI 1134816424) is an individual pediatrics provider in Gaylord, Michigan, licensed in Michigan (4301518088) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134816424
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALEXIS PAYNECredential: MD
Location Address829 N CENTER AVE STE 130Gaylord, MI 49735-1684
Mailing Address829 N Center Ave Ste 130Gaylord, MI 49735-1684 · (989) 731-7930 · Fax (989) 731-7948
Phone(989) 731-7930
Fax(989) 731-7948
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 18, 2023
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1134816424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301518088
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.
829 N CENTER AVE STE 130, Gaylord, MI 49735
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1825 N Center AveGaylord, MI 49735-1592 · Phone (989) 731-7996 · Fax (989) 731-9151
Location 23031 W Grand Blvd Ste 600Detroit, MI 48202-3014 · Phone (616) 706-7922

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Payne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395201230
PECOS Enrollment IDI20260730002613
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.

Medicare Billing Reassignment

Medicare enrollment records show Alexis Payne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Munson Healthcare Otsego Memorial Hospital
Same address
Rural Health
829 N CENTER AVE
Gaylord, MI 49735
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1164628426 (989) 731-7708

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

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

JESSICA ANNE PEACOCK CPNP-PC
Nurse Practitioner (Pediatrics)
829 N CENTER AVE STE 130
GAYLORD, MI 49735
Otsego County (989) 731-7930

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 Alexis Payne's NPI number?

The NPI number for Alexis Payne is 1134816424. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Alexis Payne located?

Alexis Payne practices at 829 N Center Ave Ste 130, Gaylord, MI 49735. The listed phone number is (989) 731-7930.

What is Alexis Payne's specialty?

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

Is Alexis Payne enrolled in Medicare?

Yes. Alexis Payne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexis Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Payne reassigns Medicare benefits to Munson Healthcare Otsego Memorial Hospital (Gaylord, MI). The 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 Alexis Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis Payne accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Alexis 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 Alexis Payne was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.