DR. ROBERT R PAYTON MD
NPI 1285748582
Surgery in Naperville, IL

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
10 W MARTIN AVE STE 225, NAPERVILLE, IL 60540(630) 355-5633 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert R Payton Md NPPES

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

DR. ROBERT R PAYTON MD (NPI 1285748582) is an individual surgery provider in Naperville, Illinois, licensed in Illinois (0360974221) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1995).

NPPES Registry Identity

NPI1285748582
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBERT R PAYTONCredential: MD
Location Address10 W MARTIN AVE STE 225Naperville, IL 60540-6590
Mailing Address10 W Martin Ave Ste 225Naperville, IL 60540-6590 · (630) 355-5633
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1995
Enumeration DateAugust 17, 2006
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
NPI 1285748582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 0360974221
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10 W MARTIN AVE STE 225, Naperville, IL 60540

Other Identifiers 1

Medicaid0360974221IL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert R Payton Md 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 ID6800843624
PECOS Enrollment IDI20050406000722
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Colon & Rectal Surgery
10 W MARTIN AVE STE 225
NAPERVILLE, IL 60540

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 Robert Payton's NPI number?

The NPI number for Robert Payton is 1285748582. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Robert Payton located?

Robert Payton practices at 10 W Martin Ave Ste 225, Naperville, IL 60540. The listed phone number is (630) 355-5633.

What is Robert Payton's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Payton enrolled in Medicare?

Yes. Robert Payton 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.

What insurance does Robert Payton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Robert Payton 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.

Is Robert Payton affiliated with any hospitals?

According to CMS data, Robert Payton is affiliated with Edward Hospital.

When was this NPI record last updated?

The NPPES record for Robert Payton was last updated on December 15, 2020. 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.