1. Home
  2. Directory
  3. Florida
  4. Madison
  5. Family Medicine
  6. NPI Profile

DR. THERESA BLAINE BAKER PAYNE D.O.
NPI 1306858956
Family Medicine - Geriatric Medicine in Madison, FL

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
180 NW HAYNES ST, MADISON, FL 32340(850) 973-1215(866) 923-4163 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theresa Blaine Baker Payne D.o. NPPES

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

DR. THERESA BLAINE BAKER PAYNE D.O. (NPI 1306858956) is an individual geriatric medicine provider in Madison, Florida, licensed in Florida (OS9255) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Madison County Memorial Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1306858956
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameDR. THERESA BLAINE BAKER PAYNECredential: D.O.
Location Address180 NW HAYNES STMadison, FL 32340-2010
Mailing AddressPo Box 185Madison, FL 32341-0185 · (850) 973-1215 · Fax (866) 926-4163
Phone(850) 973-1215
Fax(866) 923-4163
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 12, 2006
Last NPPES UpdateJune 30, 2016
✔ NPI 1306858956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in FL · OS9255
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS9255 (FL)
180 NW HAYNES ST, Madison, FL 32340
Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Blaine Baker Payne D.o.

Other Identifiers 4

Medicare PINU5245ZFL
Medicare UPINI39506FL
Medicaid272752800FL
OtherP00281257FL · Railroad Medicare

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. Theresa Blaine Baker Payne D.o. 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 ID4486686557
PECOS Enrollment IDI20050909000242
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 2

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.
123 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Madison County Memorial Hospital

Critical Access Hospitals · Madison, FL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number101311
Location224 NW Crane AveMadison, FL 32340 · Madison County
Emergency services

Doctors Memorial Hospital Inc

Critical Access Hospitals · Perry, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101314
Location333 N Byron Butler PkwyPerry, FL 32347 · Taylor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32340 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers11 claims66 services$3.11 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims15 services$16.21 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$43.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers50 claims51 services$105.14 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers32 claims32 services$35.75 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$200.70 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

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

BLAINE PAYNE, INC
Family Medicine (Geriatric Medicine)
180 NW HAYNES ST
MADISON, FL 32340
Madison County (850) 973-1215

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 Theresa Payne's NPI number?

The NPI number for Theresa Payne is 1306858956. It was assigned to this individual provider in the NPPES registry on August 12, 2006. The provider is also known as Dr. Blaine Baker Payne D.O..

Where is Theresa Payne located?

Theresa Payne practices at 180 NW Haynes St, Madison, FL 32340. The listed phone number is (850) 973-1215.

What is Theresa Payne's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Theresa Payne enrolled in Medicare?

Yes. Theresa Payne 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.

Is Theresa Payne affiliated with any hospitals?

According to CMS data, Theresa Payne is affiliated with Madison County Memorial Hospital and Doctors Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Theresa Payne was last updated on June 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.