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DR. MICHAEL CLARENCE PAYNE M.D., M.P.H.
NPI 1760481501
Internal Medicine - Gastroenterology in Somerville, MA

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
230 HIGHLAND AVE, SOMERVILLE HOSPITAL / THE CAMBRIDGE HEALTH ALLIANCE, SOMERVILLE, MA 02143(617) 665-1000 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Clarence Payne M.d., M.p.h. NPPES

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

DR. MICHAEL CLARENCE PAYNE M.D., M.P.H. (NPI 1760481501) is an individual gastroenterology provider in Somerville, Massachusetts, licensed in Massachusetts (52588) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Harvard Medical School (1982).

NPPES Registry Identity

NPI1760481501
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MICHAEL CLARENCE PAYNECredential: M.D., M.P.H.
Location Address230 HIGHLAND AVE, SOMERVILLE HOSPITAL / THE CAMBRIDGE HEALTH ALLIANCESomerville, MA 02143-1408
Mailing Address104 Summer StMalden, MA 02148-2520 · (413) 441-3718 · Fax (413) 458-8663
Phone(617) 665-1000
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1982
Enumeration DateJuly 14, 2005
Last NPPES UpdateFebruary 14, 2012
✔ NPI 1760481501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MA · 52588✔ Licensed in VT · 0420007895✔ Licensed in TN · MD38144
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
230 HIGHLAND AVE, Somerville, MA 02143
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIN74456
Medicaid6181678MA
Medicare ID-Type Unspecified3889597

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Michael Clarence Payne M.d., M.p.h. 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 ID7618865239
PECOS Enrollment IDI20040415000276
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 6

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.

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.
92 services92 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.
56 services56 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.
47 services47 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
23 services23 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
18 services16 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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02143 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

MR. JEAN MARQUES LAFOREST COUNSELOR
Community Health Worker
230 HIGHLAND AVE, S.O.N, ROOM 401
SOMERVILLE, MA 02143
Middlesex County (617) 591-6780
DR. SANDRA FADOUS PHARMD
Pharmacist
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Middlesex County (617) 591-4200
ANGELINA COSTA
Occupational Therapist
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Middlesex County (617) 591-4531
DEBRALEE QUINN MSN, RN
Registered Nurse
230 HIGHLAND AVE, SOMERVILLE HOSPITAL
SOMERVILLE, MA 02143
Middlesex County (617) 591-4500
MRS. SANDRA GONCALVES CAMPOS COUNSELOR
Community Health Worker
230 HIGHLAND AVE, SON, SUITE 405
SOMERVILLE, MA 02143
Middlesex County (617) 591-6783
CAMBRIDGE PUBLIC HEALTH COMMISSION
Psychiatric Unit
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Middlesex County (617) 591-4500
STACEY ELLIOT RN
Registered Nurse
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Middlesex County (617) 591-4500
MR. BARRY RUND
Community Health Worker
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Middlesex County (617) 591-6734

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 Michael Payne's NPI number?

The NPI number for Michael Payne is 1760481501. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Michael Payne located?

Michael Payne practices at 230 Highland Ave Somerville Hospital / The Cambridge Health Alliance, Somerville, MA 02143. The listed phone number is (617) 665-1000.

What is Michael Payne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Payne enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Payne accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael 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.

Is Michael Payne affiliated with any hospitals?

According to CMS data, Michael Payne is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Michael Payne was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.