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PETE E PAYTON PA
NPI 1568445922
Physician Assistant - Medical in Falcon, CO

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
11605 MERIDIAN MARKET VW STE 184, FALCON, CO 80831(719) 364-9560 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pete E Payton Pa NPPES

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

PETE E PAYTON PA (NPI 1568445922) is an individual medical provider in Falcon, Colorado, licensed in Colorado (PA.0003960) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1568445922
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePETE E PAYTONCredential: PA
Location Address11605 MERIDIAN MARKET VW STE 184Falcon, CO 80831-8238
Mailing Address2695 Rocky Mountain Ave, Ste 150Loveland, CO 80538-9071 · (970) 624-4036 · Fax (970) 490-4378
Phone(719) 364-9560
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 21, 2005
Last NPPES UpdateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1568445922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · PA.0003960
11605 MERIDIAN MARKET VW STE 184, Falcon, CO 80831
Open in Google Maps ↗

Other Identifiers 1

Medicaid08155305CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Pete E Payton Pa 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 ID7810915089
PECOS Enrollment IDI20151008001494
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 7

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 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.
122 services115 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
41 services40 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.
23 services23 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.
20 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

POUDRE VALLEY MEDICAL GROUP, LLC
Clinic/Center (Urgent Care)
11605 MERIDIAN MARKET VW STE 184
FALCON, CO 80831
El Paso County (719) 364-9560
KAITLIN ALEXANDRA WOMELDORF PA-C
Physician Assistant
11605 MERIDIAN MARKET VW STE 184
FALCON, CO 80831
El Paso County (719) 364-9560
GEORGE MICHAEL LOPEZ APRN
Nurse Practitioner (Family)
11605 MERIDIAN MARKET VW STE 184
FALCON, CO 80831
El Paso County (719) 364-9560

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 Pete Payton's NPI number?

The NPI number for Pete Payton is 1568445922. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Pete Payton located?

Pete Payton practices at 11605 Meridian Market Vw Ste 184, Falcon, CO 80831. The listed phone number is (719) 364-9560.

What is Pete Payton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Pete Payton enrolled in Medicare?

Yes. Pete 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 Pete Payton accept?

Health plans from UnitedHealthcare list Pete 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 Pete Payton was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.