MR. JOHNNY PHILLIP PAYNE (FNP DNP) – Nurse Practitioner, NPI 1962638452
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,379 NURSE PRACTITIONER in OR
Provider Addresses for MR. JOHNNY PHILLIP PAYNE (FNP DNP)
2655 SISKIYOU BLVD
MEDFORD, OR 975048125
Phone: (541) 304-8008
Fax: (541) 612-3557
Type: Mailing
3265 HILLCREST PARK DR
MEDFORD, OR 975047657
Phone: (541) 494-9355
Type: Mailing
Golf View Drive, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975049643
Phone: (541) 494-1111
Fax: (541) 494-1099
Type: Mailing
870, South Front Street, Queen Village, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19147, United States
SUITE 200
CENTRAL POINT, OR 975022779
Phone: (541) 664-3346
Fax: (541) 664-6051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $852.
Total Amount is formed as General ($852) + Research ($0) + Ownership ($0) = $852.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($552).
Total Amount
$852
General + Research + Ownership
Payments
45
Total payment records
General Amount
$852
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $552 |
| Astellas Pharma US Inc | $123 |
| Exact Sciences Corporation | $56 |
| Novo Nordisk Inc | $43 |
| Janssen Pharmaceuticals, Inc | $20 |
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: 2012-08-28
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 |
|---|---|---|---|---|
| I20120828000765 | I | Nurse Practitioner | OR | 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 | 168 | 58 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 64 | 40 | $0 |
| 84270 | Sex hormone binding globulin (protein) level | 48 | 37 | $0 |
| 82670 | Measurement of total estradiol (hormone) | 48 | 37 | $0 |
| 84144 | Progesterone (reproductive hormone) level | 48 | 37 | $0 |
Insurance plans in this area (ZIP 97504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| - | IL | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Physician Assistant | AZ | |
| Nurse Practitioner | OR | |
| - | NC | |
| - | WA |
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