JOHN ANDREW PAYNE DO
NPI 1477991180
Internal Medicine in Lubbock, TX

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3601 4TH ST, MS 9410, LUBBOCK, TX 79430(806) 743-3150(806) 743-2893 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Andrew Payne Do NPPES

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

JOHN ANDREW PAYNE DO (NPI 1477991180) is an individual internal medicine provider in Lubbock, Texas, licensed in Texas (Q6260) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2013).

NPPES Registry Identity

NPI1477991180
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN ANDREW PAYNECredential: DO
Location Address3601 4TH ST, MS 9410Lubbock, TX 79430-0002
Mailing Address3601 4th St, Ms 9410Lubbock, TX 79430-0002 · (806) 743-3150 · Fax (806) 743-2893
Fax(806) 743-2893
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2013
Enumeration DateJune 5, 2013
Last NPPES UpdateJanuary 21, 2022
NPPES CertifiedJanuary 21, 2022
NPI 1477991180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · Q6260
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3601 4TH ST, Lubbock, TX 79430

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

John Andrew Payne Do 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 ID8325346794
PECOS Enrollment IDI20160621002527
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
180 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
145 services66 patients
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.
94 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
48 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services28 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
2 suppliers14 claims14 services$84.08 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
2 suppliers13 claims13 services$184.79 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 20

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

Pathology (Pediatric Pathology)
3601 4TH ST, 1A115
LUBBOCK, TX 79430
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, 1A115
LUBBOCK, TX 79430
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, 1A115
LUBBOCK, TX 79430
Counselor (Mental Health)
3601 4TH ST
LUBBOCK, TX 79430
Nurse Anesthetist, Certified Registered
3601 4TH ST, STE 1C282
LUBBOCK, TX 79430
Psychiatry & Neurology (Psychiatry)
3601 4TH ST, 1C102
LUBBOCK, TX 79430
Internal Medicine
3601 4TH ST, SUITE 4C201
LUBBOCK, TX 79430
Internal Medicine (Nephrology)
3601 4TH ST, SUITE 4C201
LUBBOCK, TX 79430

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 John Payne's NPI number?

The NPI number for John Payne is 1477991180. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is John Payne located?

John Payne practices at 3601 4th St Ms 9410, Lubbock, TX 79430. The listed phone number is (806) 743-3150.

What is John Payne's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Payne enrolled in Medicare?

Yes. John 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.

What insurance does John Payne accept?

Health plans from Blue Cross and Blue Shield of Texas list John 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 John Payne affiliated with any hospitals?

According to CMS data, John Payne is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for John Payne was last updated on January 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.