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TIFFANI PAYNE
NPI 1215390927
Pediatrics in Louisville, KY

Active since March 30, 2016PECOS Enrolled
5211 COMMERCE CROSSINGS DR, LOUISVILLE, KY 40229(502) 966-3918(502) 969-3665 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2024, Oct 27, 2020, Mar 12, 2020 and 3 more (6 updates tracked since 2016).

About Tiffani Payne NPPES

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

TIFFANI PAYNE (NPI 1215390927) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (53099) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215390927
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTIFFANI PAYNE
Location Address5211 COMMERCE CROSSINGS DRLouisville, KY 40229-2183
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 966-3918
Fax(502) 969-3665
Sole ProprietorNo
Enumeration DateMarch 30, 2016
Last NPPES UpdateSeptember 4, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1215390927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in KY · 53099✔ Licensed in KY · TP09
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5211 COMMERCE CROSSINGS DR, Louisville, KY 40229
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Other Identifiers 1

Medicaid7100496000KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffani Payne 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.

Medicare Billing Reassignment

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

Norton Children's Medical Group, LLC
15 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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 40229 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 5

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

DR. JOSEPH ALVIN CLAN JR. M.D.
Pediatrics
5211 COMMERCE CROSSINGS DR
LOUISVILLE, KY 40229
Jefferson County (502) 966-3918
DR. JAMES ANTHONY TAVELLI MD
Pediatrics
5211 COMMERCE CROSSINGS DR
LOUISVILLE, KY 40229
Jefferson County (502) 966-3918
DR. TAMMY KAYE SCHRODT M.D.
Pediatrics
5211 COMMERCE CROSSINGS DR
LOUISVILLE, KY 40229
Jefferson County (502) 966-3918
MOLLY FRANK STINNETT MD
Pediatrics
5211 COMMERCE CROSSINGS DR
LOUISVILLE, KY 40229
Jefferson County (502) 966-3918
CARLA M. CREEKMORE C.R.N.P
Nurse Practitioner (Pediatrics)
5211 COMMERCE CROSSINGS DR
LOUISVILLE, KY 40229
Jefferson County (502) 966-3918

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 Tiffani Payne's NPI number?

The NPI number for Tiffani Payne is 1215390927. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Tiffani Payne located?

Tiffani Payne practices at 5211 Commerce Crossings Dr, Louisville, KY 40229. The listed phone number is (502) 966-3918.

What is Tiffani Payne's specialty?

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

Is Tiffani Payne enrolled in Medicare?

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

Which organization bills Medicare for Tiffani Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffani Payne reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). 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 Tiffani Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffani Payne accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Tiffani 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 Tiffani Payne was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.