1. Home
  2. Directory
  3. Texas
  4. Midland
  5. Pediatrics
  6. NPI Profile

JORDAN PAYNE
NPI 1558775171
Pediatrics in Midland, TX

Active since June 12, 2014PECOS Enrolled
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701(432) 221-1111 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2018, Sep 12, 2017 (2 updates tracked since 2017).

About Jordan Payne NPPES

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

JORDAN PAYNE (NPI 1558775171) is an individual pediatrics provider in Midland, Texas, licensed in Texas (R2440) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1558775171
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJORDAN PAYNE
Location Address400 ROSALIND REDFERN GROVER PKWYMidland, TX 79701-5846
Mailing Address2215 Nashville AvenueLubbock, TX 79410 · (806) 725-4800 · Fax (806) 723-6532
Phone(432) 221-1111
Sole ProprietorNo
Enumeration DateJune 12, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1558775171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · R2440
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
400 ROSALIND REDFERN GROVER PKWY, Midland, TX 79701
Open in Google Maps ↗

Secondary Practice Location 1

Location 11200 Childrens AveOklahoma City, OK 73104-4637 · Phone (405) 271-4417

Other Identifiers 2

Other8HA174TX · Bcbs
Other583266YKT8TX · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Payne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jordan Payne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Group
109 mi
Family Medicine
2215 NASHVILLE AVE
Lubbock, TX 79410
  • Reassigned Medicare billing, Texas enrollment
  • 309 clinicians in this Medicare group
NPI 1376598904 (806) 725-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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.

MIDLAND COMMUNITY HEALTHCARE SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
400 ROSALIND REDFERN GROVER PKWY, 3RD FLOOR
MIDLAND, TX 79701
Midland County (432) 681-3100
GYPSY JANE JASSO MSN, APRN, FNP-C
Nurse Practitioner (Family)
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Midland County (432) 221-1111
DR. JESSE JAY DALEHITE III M.D.
Radiology (Diagnostic Radiology)
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Midland County (432) 221-1111
DR. KARTIKEYA KUMAR
Student in an Organized Health Care Education/Training Program
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Midland County (432) 221-1111
KARTHIK CHAKRALA D.O
Internal Medicine
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Midland County (432) 221-1111
MUHAMMAD HAMDAN MALIK M.D.
Internal Medicine
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Midland County (432) 221-4243
JANA LYNNE PEIKERT NNP-BS
Nurse Practitioner (Neonatal)
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Midland County (954) 939-5000
MRS. ANNALEE MORA M.D.
Internal Medicine
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 79701
Midland County (432) 221-1111

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 Jordan Payne's NPI number?

The NPI number for Jordan Payne is 1558775171. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Jordan Payne located?

Jordan Payne practices at 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701. The listed phone number is (432) 221-1111.

What is Jordan Payne's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jordan Payne enrolled in Medicare?

Yes. Jordan Payne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Payne reassigns Medicare benefits to Covenant Medical Group (Lubbock, TX). The 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 Jordan Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Payne was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.