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ROBERT PAYNE M.D.
NPI 1184038580
Family Medicine in Clear Lake, SD

Active since June 13, 2014PECOS EnrolledAccepts Medicare Assignment
701 3RD AVE S, CLEAR LAKE, SD 57226(605) 874-2141 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 29, 2023, Mar 8, 2022 (2 updates tracked since 2022).

About Robert Payne M.d. NPPES

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

ROBERT PAYNE M.D. (NPI 1184038580) is an individual family medicine provider in Clear Lake, South Dakota, licensed in South Dakota (13087) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Appleton Area Health, and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1184038580
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT PAYNECredential: M.D.
Location Address701 3RD AVE SClear Lake, SD 57226-2016
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 312-9802
Phone(605) 874-2141
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2014
Enumeration DateJune 13, 2014
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1184038580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SD · 13087✔ Licensed in MN · 59527
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.
701 3RD AVE S, Clear Lake, SD 57226
Open in Google Maps ↗

Secondary Practice Location 1

Location 1330 N 8th Ave EDuluth, MN 55805-2024 · Phone (218) 723-1112 · Fax (218) 529-9120

Other Identifiers 3

Other0001-0205178Medica
Other1184038580MN · Bcbs Of Minnesota
Medicaid1184038580MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Payne M.d. 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 ID3476857798
PECOS Enrollment IDI20170524000107
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 Reassignments

7

Medicare enrollment records show Robert Payne reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johnson Memorial Health Services
33 mi
Medicare Defined Swing Bed Unit
1282 WALNUT ST
Dawson, MN 56232
  • Reassigned Medicare billing, Minnesota enrollment
  • 35 clinicians in this Medicare group
NPI 1770697260 (320) 769-4323
Appleton Area Health
45 mi
Skilled Nursing Facility
30 S BEHL ST
Appleton, MN 56208
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1578590626 (Minnesota)
  • 29 clinicians in this Medicare group
NPI 1558424838 (320) 289-2422
Centracare Health - Benson LLC
65 mi
Critical Access
1815 WISCONSIN AVE
Benson, MN 56215
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1023728516 (Minnesota)
  • 95 clinicians in this Medicare group
NPI 1326757154 (320) 843-4232
Carris Health - Redwood LLC
80 mi
Emergency Medicine
101 CARING WAY
Redwood Falls, MN 56283
  • Reassigned Medicare billing, Minnesota enrollment
  • 183 clinicians in this Medicare group
NPI 1265914048 (507) 637-4500
St. Francis Medical Center
106 mi
Critical Access
2400 ST. FRANCIS DRIVE
Breckenridge, MN 56520
  • Reassigned Medicare billing, Minnesota enrollment
  • 45 clinicians in this Medicare group
NPI 1639162381 (218) 643-3000
County Of Meeker
109 mi
Rural Health
612 S SIBLEY AVE
Litchfield, MN 55355
  • Reassigned Medicare billing, Minnesota enrollment
  • 125 clinicians in this Medicare group
NPI 1083221816 (320) 693-4500
Lake View Memorial Hospital, Inc
288 mi
Critical Access
325 11TH AVE
Two Harbors, MN 55616
  • Reassigned Medicare billing, Minnesota enrollment
  • 114 clinicians in this Medicare group
NPI 1023067642 (218) 834-7300

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

Hospital Affiliations CMS Care Compare

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

Appleton Area Health

Critical Access Hospitals · Appleton, MN
OwnershipGovernment - Local
CMS Certification Number241341
Location30 S Behl StAppleton, MN 56208 · Swift County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57226 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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 14

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

SANFORD HEALTH NETWORK
Clinic/Center (Rural Health)
701 3RD AVE S
CLEAR LAKE, SD 57226
Deuel County (605) 874-2141
DEUEL COUNTY AMBULANCE INC
Ambulance
701 3RD AVE S
CLEAR LAKE, SD 57226
Deuel County (605) 874-8273
DR. TERRANCE H SMITH M.D.
Internal Medicine
701 3RD AVE S
CLEAR LAKE, SD 57226
Deuel County (605) 874-3541
TIMOTHY B. CASS RPT
Physical Therapist
701 3RD AVE S
CLEAR LAKE, SD 57226
Deuel County (605) 874-3552
SARAH LEPKE FNP
Nurse Practitioner (Family)
701 3RD AVE S
CLEAR LAKE, SD 57226
Deuel County (605) 874-2141
JULIE K RASMUSSEN PAC
Physician Assistant
701 3RD AVE S
CLEAR LAKE, SD 57226
Deuel County (605) 874-8484
SANFORD HEALTH NETWORK
General Acute Care Hospital (Critical Access)
701 3RD AVE S
CLEAR LAKE, SD 57226
Deuel County (605) 874-3520
DAVID W. BURSACK DNP-FNP
Nurse Practitioner (Family)
701 3RD AVE S
CLEAR LAKE, SD 57226
Deuel County (605) 874-2141

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 Robert Payne's NPI number?

The NPI number for Robert Payne is 1184038580. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Robert Payne located?

Robert Payne practices at 701 3rd Ave S, Clear Lake, SD 57226. The listed phone number is (605) 874-2141.

What is Robert Payne's specialty?

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

Is Robert Payne enrolled in Medicare?

Yes. Robert 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.

Which organizations bill Medicare for Robert Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Payne reassigns Medicare benefits to 7 organizations: Johnson Memorial Health Services (Dawson, MN), Appleton Area Health (Appleton, MN), Centracare Health - Benson LLC (Benson, MN), Carris Health - Redwood LLC (Redwood Falls, MN), St. Francis Medical Center (Breckenridge, MN) and 2 more organizations, listed in the Medicare section above. Each 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 Robert Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Payne accept?

Health plans from Sanford Health Plan list Robert 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 Robert Payne affiliated with any hospitals?

According to CMS data, Robert Payne is affiliated with Appleton Area Health.

When was this NPI record last updated?

The NPPES record for Robert Payne was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.