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: July 19, 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
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

Other Identifiers 3

Medicare UPIN74456
Medicaid6181678MA
Medicare ID-Type Unspecified3889597

Accepted 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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
75 services74 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.
68 services62 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.
52 services43 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.
48 services43 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services28 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.
40 services40 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.

Anesthesiology
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Internal Medicine (Infectious Disease)
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Podiatrist
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Internal Medicine
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Internal Medicine (Gastroenterology)
230 HIGHLAND AVE, MEDICAL SPECIALTIES
SOMERVILLE, MA 02143
Emergency Medicine
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Nurse Practitioner (Obstetrics & Gynecology)
230 HIGHLAND AVE, WOMEN'S HEALTH CENTER
SOMERVILLE, MA 02143
Nurse Practitioner
230 HIGHLAND AVE
SOMERVILLE, MA 02143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760481501, enumerated as an "individual" on July 14, 2005.

The provider is located at 230 HIGHLAND AVE SOMERVILLE HOSPITAL / THE CAMBRIDGE HEALTH ALLIANCE SOMERVILLE, MA 02143 and the phone number is (617) 665-1000.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

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

Michael Payne is affiliated with: CAMBRIDGE HEALTH ALLIANCE.