Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW PAYNE
NPI 1205450962
Nurse Practitioner - Psychiatric/Mental Health in Manchester, NH

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment
69 BAY ST, MANCHESTER, NH 03104(603) 232-6987 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2026, Oct 15, 2023, Jun 10, 2021 and 2 more (5 updates tracked since 2020).

About Matthew Payne NPPES

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

MATTHEW PAYNE (NPI 1205450962) is an individual psychiatric/mental health provider in Manchester, New Hampshire, licensed in New Hampshire (080369-23) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205450962
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMATTHEW PAYNE
Location Address69 BAY STManchester, NH 03104-3005
Mailing Address3 Executive Park Dr Ste 245Bedford, NH 03110-7064 · (603) 316-2415
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 28, 2020
Last NPPES UpdateSeptember 21, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1205450962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NH · 080369-23
69 BAY ST, Manchester, NH 03104

Accepted 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

Matthew Payne 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 ID345659074
PECOS Enrollment IDI20210511000643
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 Matthew Payne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1361 ELM ST, SUITE 400
Manchester, NH 03101
  • Reassigned Medicare billing, New Hampshire enrollment
  • 12 clinicians in this Medicare group

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

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.

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.
182 services55 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
51 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03104 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
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 4

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

Counselor (Mental Health)
69 BAY ST
MANCHESTER, NH 03104
Marriage & Family Therapist
69 BAY ST
MANCHESTER, NH 03104
Nurse Practitioner (Psychiatric/Mental Health)
69 BAY ST
MANCHESTER, NH 03104
Counselor (Addiction (Substance Use Disorder))
69 BAY ST
MANCHESTER, NH 03104

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 Matthew Payne's NPI number?

The NPI number for Matthew Payne is 1205450962. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Matthew Payne located?

Matthew Payne practices at 69 Bay St, Manchester, NH 03104. The listed phone number is (603) 232-6987.

What is Matthew Payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Matthew Payne enrolled in Medicare?

Yes. Matthew 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 organization bills Medicare for Matthew Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Payne reassigns Medicare benefits to Novus Vita Counseling, PLLC (Manchester, NH). 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 Matthew Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Payne accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Matthew 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 Matthew Payne was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.