DR. TERRY L PAYNE (M.D.) – Family Medicine Physician, NPI 1053396002
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. TERRY L PAYNE (M.D.)
307 BOATNER RD STE 114
EGLIN AFB, FL 325421302
Phone: (850) 883-8600
Type: Mailing
Remington Green Circle, Remington Green, Tallahassee, Leon County, Florida, 32308, United States
TALLAHASSEE, FL 323081550
Phone: (850) 385-4494
Fax: (850) 298-6054
Type: Mailing
800, Hospital Drive, Crestview, Okaloosa County, Florida, 32539, United States
CRESTVIEW, FL 325397385
Phone: (850) 682-1164
Fax: (850) 682-5302
Type: Location
1005 MAR WALT DR
FORT WALTON BEACH, FL 325476707
Phone: (850) 863-6600
Fax: (850) 862-0977
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2024-04-01 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($34).
Total Amount
$99
General + Research + Ownership
Payments
5
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-01
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-01-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100113000384 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32542)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Pain Management | FL | |
| Qualified Audiologist | FL | |
| - | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Family Practice | FL |
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