CYNTHIA MICHELLE PAYNE M.D.
NPI 1720424427
Surgery in Kalispell, MT

Q: What is Cynthia Payne's NPI number?

The NPI number for Cynthia Payne is 1720424427. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Q: What is Cynthia Payne's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Cynthia Payne was last updated on July 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 May 21, 2013PECOS EnrolledAccepts Medicare Assignment

85.83/100

CMS Quality Rating

1333 SURGICAL SERVICES WAY, KALISPELL, MT 59901(406) 752-5000 Get Directions Write a Review

NPPES record last updated: July 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2025, Apr 9, 2025, Sep 6, 2023 and 6 more (9 updates tracked since 2016).

On this page

About Cynthia Michelle Payne M.d. NPPES

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

CYNTHIA MICHELLE PAYNE M.D. (NPI 1720424427) is an individual surgery provider in Kalispell, Montana, licensed in Michigan (4301500801) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Tawas St Joseph Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1720424427

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameCYNTHIA MICHELLE PAYNECredential: M.D.

Location Address1333 SURGICAL SERVICES WAYKalispell, MT 59901-4844

Mailing Address1000 Houghton AveSaginaw, MI 48602-5303 · (989) 558-6425

Phone(406) 752-5000

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2019

Enumeration DateMay 21, 2013

Last NPPES UpdateJuly 5, 20259 updates tracked since enumeration

NPPES CertifiedJuly 5, 2025

✔ NPI 1720424427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4301500801

Definition

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.

1333 SURGICAL SERVICES WAY, Kalispell, MT 59901

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Secondary Practice Locations 3

Location 12431 S M 30 Ste 216West Branch, MI 48661-9388 · Phone (989) 343-1134

Location 2295 Maple St Ste 200Tawas City, MI 48763-9352 · Phone (989) 362-0188

Location 32463 S M 30West Branch, MI 48661-9312 · Phone (989) 343-1134

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Cynthia Michelle 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 ID5597051359

PECOS Enrollment IDI20191003002581

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 9

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.

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

48 services48 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

40 services40 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

28 services28 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

28 services28 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.

21 services21 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230100

Location200 HemlockTawas City, MI 48764 · Iosco County

Emergency services Birthing friendly

Saint Mary's Standish Community Hospital

Critical Access Hospitals · Standish, MI

OwnershipVoluntary non-profit - Church

CMS Certification Number231305

Location805 W Cedar StStandish, MI 48658 · Arenac County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$70.82 typical visit price

range $18.24 – $140.32

Typical copayment $17.70 (range $4.56 – $35.08)

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.

85.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.73

Promoting Interoperability

Improvement Activities

Cost

64.93

Other Providers at the Same Location NPPES 19

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

KALISPELL REGIONAL MEDICAL CENTER INC

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