DR. MICHAEL CLARENCE PAYNE M.D., M.P.H. NPI 1760481501

Internal Medicine (Gastroenterology) in Somerville, MA

NPI 1760481501 Individual Male Years of Experience 39 Internal Medicine Gastroenterology PECOS Enrolled Accepts Medicare Approved Payment

About MICHAEL PAYNE

Michael Payne is an internal medicine provider established in Somerville, Massachusetts and his medical specialization is internal medicine (gastroenterology) with more than 39 years of experience. He graduated from Harvard Medical School in 1982. The NPI number of Michael Payne is 1760481501 and was assigned on July 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 52588 (MA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

An internist like Dr. Michael Clarence Payne M.d., M.p.h. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Michael Payne is enrolled in PECOS and is eligible to order or refer healthcare 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

Michael Payne is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Cambridge Health Alliance.

NPI

1760481501

Provider NameDR. MICHAEL CLARENCE PAYNE M.D., M.P.H.
Provider Location Address230 HIGHLAND AVE SOMERVILLE HOSPITAL / THE CAMBRIDGE HEALTH ALLIANCE SOMERVILLE, MA 02143
Provider Mailing Address104 SUMMER ST MALDEN, MA 02148
GenderMale
NPI Entity TypeIndividual
Medical School NameHARVARD MEDICAL SCHOOL
Graduation Year1982
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-14-2005
Last Update Date02-14-2012


Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.52588
License StateMA
Taxonomy DescriptionAn 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.

Business Address

DR. MICHAEL CLARENCE PAYNE M.D., M.P.H.
230 HIGHLAND AVE
SOMERVILLE HOSPITAL / THE CAMBRIDGE HEALTH ALLIANCE
SOMERVILLE, MA
ZIP 02143
Phone: (617) 665-1000

Get Directions


Mailing Address

DR. MICHAEL CLARENCE PAYNE M.D., M.P.H.
104 SUMMER ST
MALDEN, MA
ZIP 02148
Phone: (413) 441-3718
Fax: (413) 458-8663



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7618865239
PECOS Enrollment IDI20040415000276
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 57Biopsy of large bowel using an endoscope (HCPCS:45380)
  • 48Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 25Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Payne is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CAMBRIDGE HEALTH ALLIANCE1493 CAMBRIDGE STREET
CAMBRIDGE, MA 2138
(617) 665-2300Acute Care Hospitals220011

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology0420007895VTNo

Taxonomy Description: 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.

2207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyMD38144TNNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
74456MEDICARE UPIN (02)
6181678MEDICAID (05)MA
3889597MEDICARE ID-TYPE UNSPECIFIED (04)

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1659352748DR. LJILJANA GRKOVICH MD
Individual
Anesthesiology230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 666-4400
1336111020DR. LOU ANN BRUNO-MURTHA D.O.
Individual
Internal Medicine (Infectious Disease)230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4780
1760430755DR. MICHAEL HERCULES THEODOULOU D.P.M.
Individual
Podiatrist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 665-1000
1164476503 INGO H STUBBE MD
Individual
Internal Medicine230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4920
1417021437 MANISH TANDON MD
Individual
Internal Medicine (Gastroenterology)230 HIGHLAND AVE MEDICAL SPECIALTIES
SOMERVILLE, MA 02143
(617) 665-1552
1154498889 RALPH H UPCHURCH MD
Individual
Emergency Medicine230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4707
1225181910 SARAH BANSEN APRN
Individual
Nurse Practitioner (Obstetrics & Gynecology)230 HIGHLAND AVE WOMEN'S HEALTH CENTER
SOMERVILLE, MA 02143
(617) 591-4800
1538212089 KAREN LEFKOWITZ APRN
Individual
Nurse Practitioner230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-6300
1538212071 EVELYN NEIMAN APRN
Individual
Nurse Practitioner230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4800
1366651465 BARBARA J KOPPEL LICSW
Individual
Social Worker (Clinical)230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 491-4786
1174732119 EMILY J SPEAGLE LICSW
Individual
Social Worker (Clinical)230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4484
1376753848DR. XIA THAI PHARM.D.
Individual
Pharmacist (Pharmacotherapy)230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4192
1306040290MRS. AUNKSIKA ANN SLAYTON OTR.L
Individual
Occupational Therapist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4276
1861696866MS. AMYBETH LYNCH PT
Individual
Physical Therapist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4266
1811191711MRS. SELENA CHANA KUTIN P.T
Individual
Physical Therapist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4240
1922202852MR. REID FUJIMORI DPT, MSPT
Individual
Physical Therapist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4276
1790980282MISS JENNIFER ANN PURDY COTAL
Individual
Occupational Therapy Assistant230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4276
1588869481MRS. NICOLE PATRICIA STEWART MS, OTR L
Individual
Occupational Therapist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4500
1265638209 MARLA DRISCOLL RN
Individual
Registered Nurse230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4350
1487850392 ELAINE CATALOGNA RN
Individual
Registered Nurse230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4350

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.