Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RICHARD EDWARD PAYNE M.D.
NPI 1841252707
Family Medicine in Encinitas, CA

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
477 N EL CAMINO REAL, A306, ENCINITAS, CA 92024(760) 942-0118(760) 557-0128 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Edward Payne M.d. NPPES

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

RICHARD EDWARD PAYNE M.D. (NPI 1841252707) is an individual family medicine provider in Encinitas, California, licensed in California (G50467) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1982).

NPPES Registry Identity

NPI1841252707
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD EDWARD PAYNECredential: M.D.
Location Address477 N EL CAMINO REAL, A306Encinitas, CA 92024-1328
Mailing Address477 N El Camino Real, A306Encinitas, CA 92024-1328 · (760) 942-0118 · Fax (760) 557-0128
Fax(760) 557-0128
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1982
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1841252707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G50467
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
477 N EL CAMINO REAL, Encinitas, CA 92024

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

Richard Edward 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 ID5991754343
PECOS Enrollment IDI20100813000887
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 18

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
364 services277 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.
260 services190 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
185 services185 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
161 services161 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
148 services148 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
54 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers18 claims18 services$37.29 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers17 claims17 services$12.87 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers11 claims11 services$8.62 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers19 claims114 services$1.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
477 N EL CAMINO REAL, # C100
ENCINITAS, CA 92024
Nurse Practitioner (Family)
477 N EL CAMINO REAL, SUITE A
ENCINITAS, CA 92024
Obstetrics & Gynecology (Gynecology)
477 N EL CAMINO REAL, SUITE A300
ENCINITAS, CA 92024
Internal Medicine
477 N EL CAMINO REAL, SUITE 208A
ENCINITAS, CA 92024
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
477 N EL CAMINO REAL, SUITE A-210
ENCINITAS, CA 92024
Dermatology
477 N EL CAMINO REAL, SUITE C204
ENCINITAS, CA 92024
Family Medicine
477 N EL CAMINO REAL
ENCINITAS, CA 92024
Internal Medicine (Gastroenterology)
477 N EL CAMINO REAL, SUITE D-306
ENCINITAS, CA 92024

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 Richard Payne's NPI number?

The NPI number for Richard Payne is 1841252707. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Richard Payne located?

Richard Payne practices at 477 N El Camino Real A306, Encinitas, CA 92024. The listed phone number is (760) 942-0118.

What is Richard Payne's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Payne enrolled in Medicare?

Yes. Richard 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.

When was this NPI record last updated?

The NPPES record for Richard Payne was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.