DR. ETHAN PAYNE MD
NPI 1215771464
Family Medicine in Wichita, KS

Q: What is Ethan Payne's NPI number?

The NPI number for Ethan Payne is 1215771464. It was assigned to this individual provider in the NPPES registry on June 22, 2024.

Q: What is Ethan Payne's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Payne was last updated on June 27, 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.

Active since June 22, 2024PECOS Enrolled

707 N EMPORIA ST, WICHITA, KS 67214(316) 858-3499 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Jun 22, 2024 (2 updates tracked since 2024).

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About Dr. Ethan Payne Md NPPES

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

DR. ETHAN PAYNE MD (NPI 1215771464) is an individual family medicine provider in Wichita, Kansas, licensed in Kansas (94-11990) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215771464

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ETHAN PAYNECredential: MD

Location Address707 N EMPORIA STWichita, KS 67214-3707

Mailing Address1010 N Kansas StWichita, KS 67214-3124 · (316) 293-2665

Phone(316) 858-3499

Sole ProprietorNo

Enumeration DateJune 22, 2024

Last NPPES UpdateJune 27, 20242 updates tracked since enumeration

NPPES CertifiedJune 27, 2024

✔ NPI 1215771464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 94-11990

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.

707 N EMPORIA ST, Wichita, KS 67214

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Payne Md 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 67214 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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Other Providers at the Same Location NPPES 20

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

PATRICK L ALLEN MD

Family Medicine