KARROLL L PAYNE MD
NPI 1578501441
Obstetrics & Gynecology in Bogalusa, LA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
420 AVENUE F, BOGALUSA, LA 70427(985) 730-7001(985) 730-7006 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2023, Jan 10, 2023, Nov 3, 2022 and 8 more (11 updates tracked since 2016).

About Karroll L Payne Md NPPES

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

KARROLL L PAYNE MD (NPI 1578501441) is an individual obstetrics & gynecology provider in Bogalusa, Louisiana, licensed in Louisiana (207860) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Louisville School Of Medicine (1999).

NPPES Registry Identity

NPI1578501441
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKARROLL L PAYNECredential: MD
Location Address420 AVENUE FBogalusa, LA 70427-3634
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 526-0474 · Fax (225) 765-9196
Fax(985) 730-7006
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1999
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 14, 202311 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1578501441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in LA · 207860✔ Licensed in NC · 2020-03778
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
420 AVENUE F, Bogalusa, LA 70427

Other Names 1

Former Name (1)Karroll Payne Mcgregor

Secondary Practice Locations 4

Location 111530 Providence Rd, Ste 1500Charlotte, NC 28277 · Phone (704) 667-0760
Location 21100 Healing Way, Ste 23Matthews, NC 28104-4951 · Phone (980) 993-1725
Location 32700 Providence Rd S, Ste 200Waxhaw, NC 28173-6313 · Phone (704) 667-6725
Location 41550 Faulk St, Ste 2100Monroe, NC 28112-5086 · Phone (704) 289-2553

Accepted 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

Karroll L Payne Md 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 ID9234181991
PECOS Enrollment IDI20150909001739
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

7

Medicare enrollment records show Karroll Payne reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
15770 PAUL VEGA MD DR
Hammond, LA 70403
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
Gynecology
804 HEAVENS DR STE 101
Mandeville, LA 70471
  • Reassigned Medicare billing, Louisiana enrollment
Obstetrics & Gynecology
211 4TH ST
Alexandria, LA 71301
  • Reassigned Medicare billing, Louisiana enrollment
  • 34 clinicians in this Medicare group
Cardiovascular Disease
100 GREENWAY BLVD FL 2
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
School
1464 CARPENTER ROAD S
Tifton, GA 31793
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
Medical Oncology
52 HOSPITAL DR, SUITE 3-A
Columbus, NC 28722
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1225353741 (North Carolina)
  • 2,057 clinicians in this Medicare group
Obstetrics & Gynecology
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Obhg North Carolina PC
  • 196 clinicians in this Medicare group

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 2

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.
33 services15 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70427 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
21%86 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
62%61 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
48%86 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
60%156 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%147 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
55%67 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Social Worker (Clinical)
420 AVENUE F
BOGALUSA, LA 70427
Nurse Practitioner
420 AVENUE F
BOGALUSA, LA 70427
Obstetrics & Gynecology
420 AVENUE F
BOGALUSA, LA 70427
Family Medicine
420 AVENUE F
BOGALUSA, LA 70427
Family Medicine
420 AVENUE F
BOGALUSA, LA 70427
Student in an Organized Health Care Education/Training Program
420 AVENUE F
BOGALUSA, LA 70427
Family Medicine
420 AVENUE F
BOGALUSA, LA 70427
Psychiatry & Neurology (Psychiatry)
420 AVENUE F
BOGALUSA, LA 70427

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 Karroll Payne's NPI number?

The NPI number for Karroll Payne is 1578501441. It was assigned to this individual provider in the NPPES registry on June 3, 2006. The provider is also known as Karroll Payne Mcgregor.

Where is Karroll Payne located?

Karroll Payne practices at 420 Avenue F, Bogalusa, LA 70427. The listed phone number is (985) 730-7001.

What is Karroll Payne's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karroll Payne enrolled in Medicare?

Yes. Karroll 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 Karroll Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karroll Payne reassigns Medicare benefits to 7 organizations: Ochsner Clinic LLC (Hammond, LA), K Payne MD (Mandeville, LA), Dhp Of Louisiana PC (Alexandria, LA), Tanner Medical Group Inc (Carrollton, GA), Tift Regional Health System Inc (Tifton, GA) and 2 more organizations, listed in the Medicare section above. 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 Karroll Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karroll Payne accept?

Health plans from HMO Louisiana, Oscar Health and Oscar Insurance Company list Karroll 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 Karroll Payne was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.