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CLETUS PAYNE CNP
NPI 1487101879
Nurse Practitioner in Toledo, OH

Active since September 02, 2016PECOS EnrolledAccepts Medicare Assignment
4405 N. HOLLAND SYLVANIA RD., TOLEDO, OH 43623(419) 517-0146 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cletus Payne Cnp NPPES

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

CLETUS PAYNE CNP (NPI 1487101879) is an individual nurse practitioner in Toledo, Ohio, licensed in Ohio (APRN.CNP.019586) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487101879
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCLETUS PAYNECredential: CNP
Location Address4405 N. HOLLAND SYLVANIA RD.Toledo, OH 43623
Mailing AddressPo Box 164Luckey, OH 43443 · (419) 309-1970
Phone(419) 517-0146
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 2, 2016
✔ NPI 1487101879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.019586
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4405 N. HOLLAND SYLVANIA RD., Toledo, OH 43623
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance.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

Cletus Payne Cnp 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 ID9032497623
PECOS Enrollment IDI20161102001682
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cletus Payne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greater Toledo Urgent Cares, LLC.
Same address
Emergency Medicine
4405 N. HOLLAND-SYLVANIA ROAD, SUITE 101
Toledo, OH 43623
  • Reassigned Medicare billing, Ohio enrollment
  • 58 clinicians in this Medicare group
NPI 1982993010 (419) 508-1537
Mercy Health Urgent Care LLC
175 mi
Family Medicine
1064 STATE ROUTE 28 UNIT F
Milford, OH 45150
  • Reassigned Medicare billing, Ohio enrollment
  • 84 clinicians in this Medicare group
NPI 1588390942 (513) 981-4050

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

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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Cletus Payne's NPI number?

The NPI number for Cletus Payne is 1487101879. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Cletus Payne located?

Cletus Payne practices at 4405 N. Holland Sylvania Rd., Toledo, OH 43623. The listed phone number is (419) 517-0146.

What is Cletus Payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cletus Payne enrolled in Medicare?

Yes. Cletus 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 Cletus Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cletus Payne reassigns Medicare benefits to 2 organizations: Greater Toledo Urgent Cares, LLC. (Toledo, OH) and Mercy Health Urgent Care LLC (Milford, OH). 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 Cletus Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cletus Payne accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Cletus 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 Cletus Payne was last updated on September 2, 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.