HOLLY DENISE PAYNE M.D.
NPI 1225399322
Pediatrics in Clifton Park, NY

Active since June 05, 2012PECOS Enrolled
1 TALLOW WOOD DR, CLIFTON PARK, NY 12065(518) 688-0295 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Dec 7, 2021 (2 updates tracked since 2021).

About Holly Denise Payne M.d. NPPES

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

HOLLY DENISE PAYNE M.D. (NPI 1225399322) is an individual pediatrics provider in Clifton Park, New York, licensed in New York (313869) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Paducah.

NPPES Registry Identity

NPI1225399322
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameHOLLY DENISE PAYNECredential: M.D.
Location Address1 TALLOW WOOD DRClifton Park, NY 12065-2807
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Sole ProprietorNo
Enumeration DateJune 5, 2012
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
NPI 1225399322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in NY · 313869 Licensed in KY · 48383
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.
1 TALLOW WOOD DR, Clifton Park, NY 12065

Secondary Practice Location 1

Location 1548 Lone Oak RdPaducah, KY 42003-4538 · Phone (270) 442-6161 · Fax (270) 442-6294

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Holly Denise 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Nurse Practitioner (Family)
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Physician Assistant
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Advanced Practice Midwife
1 TALLOW WOOD DR, SUITE 2
CLIFTON PARK, NY 12065
General Acute Care Hospital
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065

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 Holly Payne's NPI number?

The NPI number for Holly Payne is 1225399322. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Holly Payne located?

Holly Payne practices at 1 Tallow Wood Dr, Clifton Park, NY 12065. The listed phone number is (518) 688-0295.

What is Holly Payne's specialty?

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

Is Holly Payne enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Holly Payne was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.