MS. SUSANNAH RULE PAYNE DDS
NPI 1154640787
Dentist in San Antonio, TX

Q: What is Susannah Payne's NPI number?

The NPI number for Susannah Payne is 1154640787. It was assigned to this individual provider in the NPPES registry on May 21, 2010.

Q: What is Susannah Payne's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Susannah Payne was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 21, 2010PECOS Enrolled

4118 MCCULLOUGH AVE STE 14, SAN ANTONIO, TX 78212(210) 824-2111 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Susannah Rule Payne Dds NPPES

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

MS. SUSANNAH RULE PAYNE DDS (NPI 1154640787) is an individual dentist in San Antonio, Texas, licensed in Texas (31134) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154640787

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMS. SUSANNAH RULE PAYNECredential: DDS

Location Address4118 MCCULLOUGH AVE STE 14San Antonio, TX 78212-1905

Mailing Address1717 N 35th St, Apt 8Seattle, WA 98103-9048 · (210) 386-9272

Phone(210) 824-2111

Sole ProprietorNo

Enumeration DateMay 21, 2010

Last NPPES UpdateAugust 19, 2019

✔ NPI 1154640787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 31134

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4118 MCCULLOUGH AVE STE 14, San Antonio, TX 78212

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susannah Rule Payne Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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 Susannah Payne's NPI number?

The NPI number for Susannah Payne is 1154640787. It was assigned to this individual provider in the NPPES registry on May 21, 2010.

Where is Susannah Payne located?

Susannah Payne practices at 4118 Mccullough Ave Ste 14, San Antonio, TX 78212. The listed phone number is (210) 824-2111.

What is Susannah Payne's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Susannah Payne enrolled in Medicare?

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

What insurance does Susannah Payne accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Susannah 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 Susannah Payne was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.