DR. KASSANDRA L PAYNE (DO) – Family Medicine Physician, NPI 1174903389
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
480 OBSTETRICS/GYNECOLOGY in OK
Provider Addresses for DR. KASSANDRA L PAYNE (DO)
608 NW 9th St
Suite 1000
Oklahoma City, OK 731021068
Phone: (405) 272-7494
Fax: (405) 272-6985
Type: Location
PO BOX 689
POTEAU, OK 749530689
Phone: (918) 647-8635
Fax: (918) 635-3191
Type: Mailing
104 WALL ST
POTEAU, OK 74953
Phone: (918) 647-8635
Fax: (918) 635-3191
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $336.
Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($135).
Total Amount
$336
General + Research + Ownership
Payments
16
Total payment records
General Amount
$336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vanda Pharmaceuticals Inc. | $135 |
| Lilly USA, LLC | $127 |
| AstraZeneca Pharmaceuticals LP | $23 |
| Novo Nordisk Inc | $19 |
| ABBVIE INC. | $18 |
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: 2020-06-26
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 |
|---|---|---|---|---|
| I20200626000506 | I | Family Practice | AR | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 110 | 55 | $0 |
| 83036 | Hemoglobin a1c level | 53 | 30 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 19 | 17 | $0 |
| 82044 | Urine microalbumin (protein) analysis | 14 | 14 | $0 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 14 | 14 | $0 |
Insurance plans in this area (ZIP 73102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| - | AR | |
| Family Practice | IL | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | TX | |
| Family Practice | AR | |
| Clinical Social Worker | AR | |
| Family Practice | AR | |
| - | AR | |
| Nurse Practitioner | AR |
Reviews
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