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DR. SPENCER CRANSTON PAYNE M.D.
NPI 1679564777
Otolaryngology in Charlottesville, VA

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
415 RAY C. HUNT DRIVE, SUITE 1200, CHARLOTTESVILLE, VA 22903(434) 924-5700(434) 924-1736 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, Oct 9, 2020, Dec 30, 2015 (3 updates tracked since 2015).

About Dr. Spencer Cranston Payne M.d. NPPES

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

DR. SPENCER CRANSTON PAYNE M.D. (NPI 1679564777) is an individual otolaryngology provider in Charlottesville, Virginia, licensed in Virginia (0101241639) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1679564777
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SPENCER CRANSTON PAYNECredential: M.D.
Location Address415 RAY C. HUNT DRIVE, SUITE 1200Charlottesville, VA 22903-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-5700
Fax(434) 924-1736
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2001
Enumeration DateOctober 31, 2005
Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1679564777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in VA · 0101241639
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
415 RAY C. HUNT DRIVE, Charlottesville, VA 22903
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-0211

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

Dr. Spencer Cranston Payne M.d. 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 ID1951314350
PECOS Enrollment IDI20070912000344
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 8

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
318 services218 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.
187 services119 patients
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.
127 services99 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.
97 services97 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
63 services46 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Other Providers at the Same Location NPPES 16

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

ANUJ SINGLA M.D
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3633
ZHENQI LIU M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 RAY C. HUNT DRIVE, STE 2100
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-1825
MICHELE R HAMRICK ANP
Nurse Practitioner (Adult Health)
415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-1825
RALF M. NASS M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-1825
EUGENE J. BARRETT M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 RAY C. HUNT DRIVE, UVA ENDOCRINOLOGY
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-1825
JAMES J. DANIERO M.D.
Otolaryngology
415 RAY C. HUNT DRIVE, STE 2200
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2153
ADAM Q. CARLSON M.D.
Internal Medicine (Rheumatology)
415 RAY C. HUNT DRIVE, STE 2100
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-0223
ELIZABETH A RABIN M.S.
Audiologist
415 RAY C. HUNT DRIVE, UVA ENT CLINIC AT FONTAINE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2050

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 Spencer Payne's NPI number?

The NPI number for Spencer Payne is 1679564777. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Spencer Payne located?

Spencer Payne practices at 415 Ray C. Hunt Drive Suite 1200, Charlottesville, VA 22903. The listed phone number is (434) 924-5700.

What is Spencer Payne's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Spencer Payne enrolled in Medicare?

Yes. Spencer 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.

Is Spencer Payne affiliated with any hospitals?

According to CMS data, Spencer Payne is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Spencer Payne was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.