DR. SANDRA L. PAYNE DMD
NPI 1710072137
Dentist in Louisville, KY

Q: What is Sandra Payne's NPI number?

The NPI number for Sandra Payne is 1710072137. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Sandra Payne's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Payne was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 03, 2006PECOS Enrolled

JOHN P RAKUTT DMD PSC, 801 BARRET AVENUE #107, LOUISVILLE, KY 40204(502) 582-2004(502) 582-2032 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Sandra L. Payne Dmd NPPES

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

DR. SANDRA L. PAYNE DMD (NPI 1710072137) is an individual dentist in Louisville, Kentucky, licensed in Kentucky (KY6437) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710072137

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SANDRA L. PAYNECredential: DMD

Location AddressJOHN P RAKUTT DMD PSC, 801 BARRET AVENUE #107Louisville, KY 40204

Mailing AddressJohn P Rakutt Dmd Psc, 801 Barret Avenue #107Louisville, KY 40204 · (502) 582-2004 · Fax (502) 582-2032

Phone(502) 582-2004

Fax(502) 582-2032

Sole ProprietorYes

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710072137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KY · KY6437

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

JOHN P RAKUTT DMD PSC, Louisville, KY 40204

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Other Identifiers 2

Medicaid60064375KY

Other0004999KY · Doral

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandra L. Payne Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40204 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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 Sandra Payne's NPI number?

The NPI number for Sandra Payne is 1710072137. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Sandra Payne located?

Sandra Payne practices at John P Rakutt Dmd Psc 801 Barret Avenue #107, Louisville, KY 40204. The listed phone number is (502) 582-2004.

What is Sandra Payne's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sandra Payne enrolled in Medicare?

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

What insurance does Sandra Payne accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Sandra 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 Sandra Payne was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.