PAYTON BODDEN PA-C
NPI 1891658522
Physician Assistant in Saint Louis, MO

Active since December 09, 2025PECOS EnrolledAccepts Medicare Assignment
11125 DUNN RD STE 301, SAINT LOUIS, MO 63136(314) 273-2234 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 29, 2026, Dec 9, 2025 (2 updates tracked since 2025).

About Payton Bodden Pa-c NPPES

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

PAYTON BODDEN PA-C (NPI 1891658522) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2026003572) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891658522
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePAYTON BODDENCredential: PA-C
Location Address11125 DUNN RD STE 301Saint Louis, MO 63136-6132
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (314) 953-8250 · Fax (314) 953-8255
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 9, 2025
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1891658522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2026003572
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
11125 DUNN RD STE 301, Saint Louis, MO 63136

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

Payton Bodden Pa-c 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 ID1658855648
PECOS Enrollment IDI20260318001173
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery
11125 DUNN RD STE 301
SAINT LOUIS, MO 63136
Physician Assistant
11125 DUNN RD STE 301
SAINT LOUIS, MO 63136
Orthopaedic Surgery
11125 DUNN RD STE 301
SAINT LOUIS, MO 63136
Physician Assistant
11125 DUNN RD STE 301
SAINT LOUIS, MO 63136
Physician Assistant
11125 DUNN RD STE 301
SAINT LOUIS, MO 63136
Orthopaedic Surgery
11125 DUNN RD STE 301
SAINT LOUIS, MO 63136
Orthopaedic Surgery
11125 DUNN RD STE 301
SAINT LOUIS, MO 63136
Orthopaedic Surgery
11125 DUNN RD STE 301
SAINT LOUIS, MO 63136

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 Payton Bodden's NPI number?

The NPI number for Payton Bodden is 1891658522. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Payton Bodden located?

Payton Bodden practices at 11125 Dunn Rd Ste 301, Saint Louis, MO 63136. The listed phone number is (314) 273-2234.

What is Payton Bodden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Payton Bodden enrolled in Medicare?

Yes. Payton Bodden 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 Payton Bodden was last updated on January 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.