DR. KASSANDRA L PAYNE DO
NPI 1174903389
Family Medicine in Poteau, OK

Active since June 02, 2015PECOS EnrolledAccepts Medicare Assignment
104 WALL ST, POTEAU, OK 74953(918) 647-8635(918) 635-3191 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2018, Aug 30, 2018, Jun 26, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Kassandra L Payne Do NPPES

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

DR. KASSANDRA L PAYNE DO (NPI 1174903389) is an individual family medicine provider in Poteau, Oklahoma, licensed in Oklahoma (5982) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1174903389
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KASSANDRA L PAYNECredential: DO
Location Address104 WALL STPoteau, OK 74953
Mailing AddressPo Box 689Poteau, OK 74953-0689 · (918) 647-8635 · Fax (918) 635-3191
Fax(918) 635-3191
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 2, 2015
Last NPPES UpdateSeptember 7, 20184 updates tracked since enumeration
NPI 1174903389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 5982
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
104 WALL ST, Poteau, OK 74953

Other Names 1

Former Name (1)Dr. Kassandra L Guthmueller Do

Secondary Practice Location 1

Location 1608 NW 9th St, Suite 1000Oklahoma City, OK 73102-1068 · Phone (405) 272-7494 · Fax (405) 272-6985

Other Identifiers 1

Medicaid373479OK

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

Dr. Kassandra L Payne Do 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 ID7719263722
PECOS Enrollment IDI20170405001780, I20200626000506
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 3

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
177 services68 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
71 services42 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74953 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.

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Rural Health)
104 WALL ST
POTEAU, OK 74953
General Practice
104 WALL ST
POTEAU, OK 74953
Nurse Practitioner (Family)
104 WALL ST
POTEAU, OK 74953
Nurse Practitioner (Primary Care)
104 WALL ST
POTEAU, OK 74953
Family Medicine
104 WALL ST
POTEAU, OK 74953
Internal Medicine
104 WALL ST
POTEAU, OK 74953

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 Kassandra Payne's NPI number?

The NPI number for Kassandra Payne is 1174903389. It was assigned to this individual provider in the NPPES registry on June 2, 2015. The provider is also known as Dr. Kassandra L Guthmueller Do.

Where is Kassandra Payne located?

Kassandra Payne practices at 104 Wall St, Poteau, OK 74953. The listed phone number is (918) 647-8635.

What is Kassandra Payne's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kassandra Payne enrolled in Medicare?

Yes. Kassandra 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 Kassandra Payne accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Kassandra 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 Kassandra Payne was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.