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DR. MERCEDES V. PAYNE M.D.
NPI 1225021306
Family Medicine in Spring City, TN

Active since August 24, 2005PECOS Enrolled
22576 RHEA COUNTY HWY, STE. 1, 2 & 3, SPRING CITY, TN 37381(423) 365-4486(423) 822-5464 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 9, 2021, Jun 11, 2019, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Mercedes V. Payne M.d. NPPES

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

DR. MERCEDES V. PAYNE M.D. (NPI 1225021306) is an individual family medicine provider in Spring City, Tennessee, licensed in Tennessee (48882) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225021306
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MERCEDES V. PAYNECredential: M.D.
Location Address22576 RHEA COUNTY HWY, STE. 1, 2 & 3Spring City, TN 37381-5393
Mailing Address8850 Rhea County Hwy Ste 12Dayton, TN 37321-7932 · (423) 775-1160 · Fax (423) 775-1047
Phone(423) 365-4486
Fax(423) 822-5464
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateFebruary 9, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
✔ NPI 1225021306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · 48882✔ Licensed in NC · 9801436✔ Licensed in VA · 0101233065
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.
22576 RHEA COUNTY HWY, Spring City, TN 37381
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Other Identifiers 3

Medicaid1530219TN
Medicaid010150761VA
MedicaidQ030008TN

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. Mercedes V. Payne M.d. 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.

Areas of Expertise CMS Part B claims 8

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.
113 services70 patients
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.
86 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services57 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
63 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
56 services43 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37381 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,996 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
2%214 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%58 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
60%616 patients3/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%616 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
41%616 patients3/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers11 claims220 services$3.03 avg. paid by Medicare
Adhesive, liquid or equal, any type, per oz A4364
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims44 services$2.53 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers12 claims48 services$5.51 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers12 claims240 services$2.55 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers12 claims33 services$41.51 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers12 claims12 services$20.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

RHEA MEDICAL CENTER
Family Medicine
22576 RHEA COUNTY HWY, STE. 1, 2 & 3
SPRING CITY, TN 37381
Rhea County (423) 365-2483
CHRISTOPHER DERIK ELMORE PT, DPT
Physical Therapist
22576 RHEA COUNTY HWY, STE 7
SPRING CITY, TN 37381
Rhea County (423) 362-5884
RHEA MEDICAL CENTER
Clinic/Center (Rural Health)
22576 RHEA COUNTY HWY
SPRING CITY, TN 37381
Rhea County (423) 299-1390

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 Mercedes Payne's NPI number?

The NPI number for Mercedes Payne is 1225021306. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Mercedes Payne located?

Mercedes Payne practices at 22576 Rhea County Hwy Ste. 1, 2 & 3, Spring City, TN 37381. The listed phone number is (423) 365-4486.

What is Mercedes Payne's specialty?

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

Is Mercedes Payne enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mercedes Payne was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.