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DR. BRANDON C PAYNE D.D.S., M.D.
NPI 1285772301
Dentist - Oral and Maxillofacial Surgery in Pueblo, CO

Active since February 01, 2007Opted out of Medicare · through Jul 1, 2027
4728 EAGLERIDGE CIR STE 110, PUEBLO, CO 81008(719) 542-4546(719) 542-4548 Get Directions Write a Review

NPPES record last updated: November 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2024, Jan 18, 2017 (2 updates tracked since 2017).

About Dr. Brandon C Payne D.d.s., M.d. NPPES

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

DR. BRANDON C PAYNE D.D.S., M.D. (NPI 1285772301) is an individual oral and maxillofacial surgery provider in Pueblo, Colorado, licensed in Colorado (10136) and active in the NPI registry since February 2007. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285772301
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRANDON C PAYNECredential: D.D.S., M.D.
Location Address4728 EAGLERIDGE CIR STE 110Pueblo, CO 81008-2196
Mailing Address4728 Eagleridge Cir Ste 110Pueblo, CO 81008-2196 · (719) 542-4546 · Fax (719) 542-4548
Phone(719) 542-4546
Fax(719) 542-4548
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateNovember 10, 20242 updates tracked since enumeration
NPPES CertifiedNovember 10, 2024
✔ NPI 1285772301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CO · 10136
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 50000 (CO)
4728 EAGLERIDGE CIR STE 110, Pueblo, CO 81008
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Other Identifiers 1

Medicaid33987220CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brandon C Payne D.d.s., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81008 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES

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

BRANDON C. PAYNE D.D.S., M.D., P.C.
Dentist (Oral and Maxillofacial Surgery)
4728 EAGLERIDGE CIR STE 110
PUEBLO, CO 81008
Pueblo County (719) 542-4546

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 Brandon Payne's NPI number?

The NPI number for Brandon Payne is 1285772301. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Brandon Payne located?

Brandon Payne practices at 4728 Eagleridge Cir Ste 110, Pueblo, CO 81008. The listed phone number is (719) 542-4546.

What is Brandon Payne's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Brandon Payne enrolled in Medicare?

No. Brandon Payne has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brandon Payne accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Brandon 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 Brandon Payne was last updated on November 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.