MRS. COURTNEY PAYNE (P.A.) – Physician Assistant, NPI 1255870556
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for MRS. COURTNEY PAYNE (P.A.)
157 N STATE ROUTE 510
FREMONT, OH 434209224
Phone: (419) 217-1614
Type: Mailing
5308 HARROUN RD # 285
SYLVANIA, OH 435602193
Phone:
Type: Mailing
2120, West Central Avenue, Deaveaux, Toledo, Lucas County, Ohio, 43606, United States
TOLEDO, OH 436063834
Phone: (419) 824-1785
Fax: (419) 824-5953
Type: Location
100 MADISON AVE
TOLEDO, OH 436041516
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $2,020.
Total Amount is formed as General ($2,020) + Research ($0) + Ownership ($0) = $2,020.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Karyopharm Therapeutics Inc. ($1,217).
Total Amount
$2,020
General + Research + Ownership
Payments
35
Total payment records
General Amount
$2,020
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Karyopharm Therapeutics Inc. | $1,217 |
| Astellas Pharma US Inc | $217 |
| ABBVIE INC. | $87 |
| Merck Sharp & Dohme LLC | $80 |
| AstraZeneca Pharmaceuticals LP | $71 |
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: 2017-03-10
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 |
|---|---|---|---|---|
| I20170310001532 | I | Physician Assistant | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 111 | 68 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 80 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 43420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | OH | |
| - | OH |
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