ROBERT PAYNE (M.D.) – Family Medicine Physician, NPI 1184038580
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROBERT PAYNE (M.D.)
330 N 8TH AVE E
DULUTH, MN 558052024
Phone: (218) 723-1112
Fax: (218) 529-9120
Type: Mailing
330 N 8th Ave E
Duluth, MN 558052024
Phone: (218) 723-1112
Fax: (218) 529-9120
Type: Location
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone: (605) 328-6585
Fax: (605) 312-9802
Type: Mailing
701 3RD AVE S
CLEAR LAKE, SD 572262016
Phone: (605) 874-2141
Type: Location
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: 2017-05-24
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 |
|---|---|---|---|---|
| I20170524000107 | I | Family Practice | MN | 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 55805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | CT | |
| - | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Family Practice, Internal Medicine | MN | |
| Certified Nurse Midwife (Cnm) | MN | |
| General Surgery | MN |
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