MR. MARK ANTHONY PAYNE (PAC) – Physician Assistant, NPI 1063506681
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. MARK ANTHONY PAYNE (PAC)
921 W LAKE BRANTLEY RD
ALTAMONTE SPRINGS, FL 327142634
Phone: (321) 624-3102
Type: Mailing
10140 CENTURION PKWY N
JACKSONVILLE, FL 322560532
Phone: (904) 697-4100
Fax: (904) 697-5102
Type: Mailing
750 CENTERVIEW BLVD
KISSIMMEE, FL 347417651
Phone: (407) 850-3497
Fax: (904) 697-5102
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $467.
Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($256).
Total Amount
$467
General + Research + Ownership
Payments
4
Total payment records
General Amount
$467
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $256 |
| Novartis Pharmaceuticals Corporation | $131 |
| COLOPLAST CORP | $80 |
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: 2005-05-07
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 |
|---|---|---|---|---|
| I20050507000022 | I | Physician Assistant | 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 32714)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
Reviews
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