DR. MASON PAYNE MD
NPI 1417694035
Family Medicine in Fredericksburg, TX
About Dr. Mason Payne Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MASON PAYNE MD (NPI 1417694035) is an individual family medicine provider in Fredericksburg, Texas, licensed in Texas (V2212) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of University Of Texas At Austin Dell Medical School (2022).
NPPES Registry Identity
Specialties & Licenses 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
Dr. Mason Payne 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 Mason Payne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fredericksburg, TX 78624
- Reassigned Medicare billing, Texas enrollment
- 9 clinicians in this Medicare group
Princeton, TX 75407
- Reassigned Medicare billing, Texas enrollment
- 186 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peterson Regional Medical Center
Acute Care Hospitals · Kerrville, TXHill Country Memorial Hospital
Acute Care Hospitals · Fredericksburg, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mason Payne's NPI number?
The NPI number for Mason Payne is 1417694035. It was assigned to this individual provider in the NPPES registry on May 16, 2022.
Where is Mason Payne located?
Mason Payne practices at 514 W Windcrest St, Fredericksburg, TX 78624. The listed phone number is (830) 977-0330.
What is Mason Payne's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mason Payne enrolled in Medicare?
Yes. Mason 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.
Which organizations bill Medicare for Mason Payne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mason Payne reassigns Medicare benefits to 2 organizations: Fredericksburg Family Clinic PA (Fredericksburg, TX) and Dcs Medical PA (Princeton, TX). 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 Mason Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mason Payne accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mason 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.
Is Mason Payne affiliated with any hospitals?
According to CMS data, Mason Payne is affiliated with Peterson Regional Medical Center and Hill Country Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mason Payne was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Mason Payne, MD · NPI 1417694035
Family Medicine physician in Fredericksburg, Texas. Individual provider, active in the CMS NPPES registry since May 16, 2022.
## Identity
- **NPI:** 1417694035 (Entity type: Individual)
- **Enumerated:** May 16, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** V2212 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 514 W WINDCREST ST, Fredericksburg, TX 78624-4633
- **Phone:** (830) 977-0330
## 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): Fredericksburg Family Clinic PA (NPI 1306917141, Fredericksburg, TX); Dcs Medical PA (NPI 1285082768, Princeton, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas At Austin Dell Medical School, class of 2022
## Record status
- **NPPES last updated:** July 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417694035) · Data from the CMS NPPES public registry.