RICHARD EDWARD PAYHA MD
NPI 1396734745
Surgery in Monroeville, PA
About Richard Edward Payha Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD EDWARD PAYHA MD (NPI 1396734745) is an individual surgery provider in Monroeville, Pennsylvania, licensed in Pennsylvania (MD050114L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Richard Edward Payha 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.
Medicare Billing Reassignments
2Medicare enrollment records show Richard Payha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monroeville, PA 15146
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Carmi, IL 62821
- Reassigned Medicare billing, Illinois enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ferrell Hospital Community Foundations
Critical Access Hospitals · Eldorado, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONROEVILLE, PA 15146
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 Richard Payha's NPI number?
The NPI number for Richard Payha is 1396734745. It was assigned to this individual provider in the NPPES registry on October 18, 2005.
Where is Richard Payha located?
Richard Payha practices at 2580 Haymaker Rd Ste 304, Monroeville, PA 15146. The listed phone number is (412) 858-3070.
What is Richard Payha's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Richard Payha enrolled in Medicare?
Yes. Richard Payha 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.
Which organizations bill Medicare for Richard Payha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Payha reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Monroeville, PA) and Ferrell Hospital Community Foundation (Carmi, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Payha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Payha accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Richard Payha 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 Richard Payha affiliated with any hospitals?
According to CMS data, Richard Payha is affiliated with Ferrell Hospital Community Foundations.
When was this NPI record last updated?
The NPPES record for Richard Payha was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Richard Edward Payha, MD · NPI 1396734745
Surgery physician in Monroeville, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 18, 2005.
## Identity
- **NPI:** 1396734745 (Entity type: Individual)
- **Enumerated:** October 18, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD050114L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2580 HAYMAKER RD STE 304, Monroeville, PA 15146-3500
- **Phone:** (412) 858-3070 · **Fax:** (412) 858-3076
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Allegheny Clinic (NPI 1003241704, Monroeville, PA); Ferrell Hospital Community Foundation (NPI 1134650997, Carmi, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** October 5, 2020
- **Other identifiers:** Other 10933938; Medicaid 001421132 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1396734745) · Data from the CMS NPPES public registry.