WILLIAM D PAYNE MD
NPI 1689779993
Surgery in Minneapolis, MN

NPI Status: Active since September 13, 2006

Contact Information

516 DELAWARE STREET SE
PWB SECOND FLOOR, CLINIC 2A
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6100

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  • Individual
  • Male
  • Surgery
  • PECOS Enrolled

About WILLIAM PAYNE

This page provides the complete NPI Profile along with additional information for William Payne, a provider established in Minneapolis, Minnesota with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1689779993 assigned on September 2006. The practitioner's primary taxonomy code is 208600000X with license number 22417 (MN). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1689779993
Provider Name
WILLIAM D PAYNE MD
Gender
Male
Entity Type
Individual
Location Address
516 DELAWARE STREET SE PWB SECOND FLOOR, CLINIC 2A MINNEAPOLIS, MN 55455
Location Phone
(612) 626-6100
Mailing Address
420DELAWARE STREET SE, MMD 292 UNIVERSITY OF MINNESOTA PHYSICIANS MINNEAPOLIS, MN 55455
Mailing Phone
(612) 626-6100
Is Sole Proprietor?
No
Enumeration Date
09-13-2006
Last Update Date
10-26-2012
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A surgeon like William Payne treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
22417
License State
MN
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

22417 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HP22196OTHER (01)MNHEALTH PARTNERS
082982OTHER (01)MNFAIRVIEW
2T102PAOTHER (01)MNBLUE CROSS BLUE SHIELD
020028386MEDICARE ID-TYPE UNSPECIFIED (04)MNRAILROAD
084587600MEDICAID (05)MN 
37-12454OTHER (01)MNMEDICA CHOICE
604794OTHER (01)MNARAZ
17-00026OTHER (01)MNMEDICA PRIMARY
1009266OTHER (01)MNPREFERRED ONE
101592OTHER (01)MNUCARE
020001091MEDICARE ID-TYPE UNSPECIFIED (04)MN 

Medicare Participation & PECOS Enrollment Status

William Payne is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55455 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689779993, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 87. The final step is to find the difference between that total and the next multiple of ten (90 - 87 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 4 + 7 + 1 + 8 + 9 + 1 + 8 + 24 = 87

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 87 is 90. The difference is the calculated check digit.

90 - 87 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1689779993.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
516 DELAWARE STREET SE, UNIV. OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B
MINNEAPOLIS, MN 55455
Radiology (Diagnostic Radiology)
516 DELAWARE STREET SE, PWB 1ST FL CLINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Radiology (Diagnostic Radiology)
516 DELAWARE STREET SE, PWB 1ST FL CINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Urology
516 DELAWARE STREET SE, CLINIC 1E, FIRST FLOOR PWB
MINNEAPOLIS, MN 55455
Internal Medicine (Pulmonary Disease)
516 DELAWARE STREET SE, PWB SECOND FLOOR CLINIC 2A
MINNEAPOLIS, MN 55455
Family Medicine
516 DELAWARE STREET SE, PWB THIRD FLOOR CLINIC 3A
MINNEAPOLIS, MN 55455
Pediatrics
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN 55455
Pediatrics
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN 55455
Pediatrics (Pediatric Endocrinology)
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN 55455
Clinical Neuropsychologist
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN 55455
Registered Nurse (Registered Nurse First Assistant)
516 DELAWARE STREET SE, PWB THIRD FLOOR, CLINIC 3B
MINNEAPOLIS, MN 55455
Neurological Surgery
516 DELAWARE STREET SE, UMP NEUROSURGERY CLINIC
MINNEAPOLIS, MN 55455
Ophthalmology
516 DELAWARE STREET SE, EYE CLINIC
MINNEAPOLIS, MN 55455
Radiology (Diagnostic Radiology)
516 DELAWARE STREET SE, UMPHYSICIANS IMAGING CENTER
MINNEAPOLIS, MN 55455
Internal Medicine (Infectious Disease)
516 DELAWARE STREET SE, DELAWARE STREET CLINIC
MINNEAPOLIS, MN 55455
Advanced Practice Midwife
516 DELAWARE STREET SE, WOMEN'S HEALTH CENTER
MINNEAPOLIS, MN 55455
Internal Medicine (Infectious Disease)
516 DELAWARE STREET SE, UMP DELAWARE STREET CLINIC
MINNEAPOLIS, MN 55455
Anesthesiology
516 DELAWARE STREET SE, UMP PM&R CLINIC
MINNEAPOLIS, MN 55455
Surgery
516 DELAWARE STREET SE, UMP SURGERY CLINIC
MINNEAPOLIS, MN 55455
Pediatrics (Pediatric Hematology-Oncology)
516 DELAWARE STREET SE, UNIVERSITY OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B
MINNEAPOLIS, MN 55455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689779993, enumerated as an "individual" on September 13, 2006.

The provider is located at 516 DELAWARE STREET SE PWB SECOND FLOOR, CLINIC 2A MINNEAPOLIS, MN 55455 and the phone number is (612) 626-6100.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.