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JUSTIN MARSHALL PAYTON APRN
NPI 1518340595
Nurse Practitioner - Family in Columbia, KY

Active since July 08, 2015PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
197 WILL WALKER RD, COLUMBIA, KY 42728(270) 384-9981(270) 384-9989 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Jun 10, 2021 (2 updates tracked since 2021).

About Justin Marshall Payton Aprn NPPES

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

JUSTIN MARSHALL PAYTON APRN (NPI 1518340595) is an individual family provider in Columbia, Kentucky, licensed in Kentucky (3009520) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1518340595
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN MARSHALL PAYTONCredential: APRN
Location Address197 WILL WALKER RDColumbia, KY 42728-7436
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4607
Phone(270) 384-9981
Fax(270) 384-9989
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 8, 2015
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
✔ NPI 1518340595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3009520
197 WILL WALKER RD, Columbia, KY 42728
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100350840KY
Other13586420Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Justin Marshall Payton Aprn 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 ID3173837978
PECOS Enrollment IDI20150807013888
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 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.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
30 services30 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services18 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42728 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

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.

ALISON R CLAUNCH APRN
Nurse Practitioner (Family)
197 WILL WALKER RD
COLUMBIA, KY 42728
Adair County (270) 384-9981
DONNA S VINCENT APRN
Nurse Practitioner (Family)
197 WILL WALKER RD
COLUMBIA, KY 42728
Adair County (270) 384-9981
LILLIAN KENDALL HAMM APRN
Nurse Practitioner (Family)
197 WILL WALKER RD
COLUMBIA, KY 42728
Adair County (270) 384-9981
MS. MARY BETH CRABTREE PA-C
Physician Assistant (Medical)
197 WILL WALKER RD
COLUMBIA, KY 42728
Adair County (270) 384-9981
TAMRA EDWANA MOSS APRN
Nurse Practitioner (Family)
197 WILL WALKER RD
COLUMBIA, KY 42728
Adair County (270) 384-9981

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 Justin Payton's NPI number?

The NPI number for Justin Payton is 1518340595. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Where is Justin Payton located?

Justin Payton practices at 197 Will Walker Rd, Columbia, KY 42728. The listed phone number is (270) 384-9981.

What is Justin Payton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justin Payton enrolled in Medicare?

Yes. Justin Payton 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 Justin Payton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Justin Payton 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 Justin Payton was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.