DR. LARRY JEFFREY PAYNE (M.D.) – Ophthalmology Physician, NPI 1366504474

DR. LARRY JEFFREY PAYNE (M.D.) is a healthcare provider. based in Gainesville, Georgia. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. 034217 (GA). The NPI Number for DR. LARRY JEFFREY PAYNE (M.D.) is 1366504474

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY JEFFREY PAYNE (M.D.)
NPI
1366504474
Phone
(770) 534-1711
Address
1485 JESSE JEWELL PARKWAY NE
Enumeration Date
14 December 2006
Last Update Date
4 March 2014

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7702921999
Graduation Year
1987 (39 years ago)
PAC ID
6507812724
Group Practice PAC ID
8022099175
Professional Enrollment ID
I20111109000166
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LARRY JEFFREY PAYNE (M.D.)

  • Jesse Jewell Parkway Northeast, Gainesville, Hall County, Georgia, 30501, United States

    SUITE 100

    GAINESVILLE, GA 30501

    Phone: (770) 534-1711

    Fax: (770) 532-2422

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-11-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111109000166IOphthalmologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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 30501)

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Provider's Procedures

DR. LARRY JEFFREY PAYNE (M.D.) performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYGA92012Eye and medical examination for diagnosis and treatment, established patient1196841
OPHTHALMOLOGYGA92083Measurement of field of vision during daylight conditions595552
OPHTHALMOLOGYGA92134Diagnostic imaging of retina223219

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022099175View full group profile

Reviews

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Frequently asked questions

How do I look up DR. LARRY JEFFREY PAYNE (M.D.) by NPI?
Use NPI 1366504474 when you need to reference DR. LARRY JEFFREY PAYNE (M.D.) in forms, claims, or directories.
Is DR. LARRY JEFFREY PAYNE (M.D.) active in the national directory?
DR. LARRY JEFFREY PAYNE (M.D.)'s public NPI profile is in an active state.
What field does DR. LARRY JEFFREY PAYNE (M.D.) work in?
You can think of DR. LARRY JEFFREY PAYNE (M.D.) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. LARRY JEFFREY PAYNE (M.D.)'s primary listing?
We display Gainesville, Georgia because that is what the record indicates for DR. LARRY JEFFREY PAYNE (M.D.).
Is DR. LARRY JEFFREY PAYNE (M.D.) a real provider?
This page reflects official NPPES data for NPI 1366504474. Always confirm identity and privileges with the practice and licensing boards.

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