ETHAN PAYNE (MD) – Ophthalmology Physician, NPI 1598024093

ETHAN PAYNE (MD) is a healthcare provider. based in East stroudsburg, Pennsylvania. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD457973 (PA). The NPI Number for ETHAN PAYNE (MD) is 1598024093

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN PAYNE (MD)
NPI
1598024093
Phone
(570) 421-8842
Address
300 PLAZA CT
Enumeration Date
4 May 2012
Last Update Date
12 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
57042188421007
Graduation Year
2012 (14 years ago)
PAC ID
6204155609
Group Practice PAC ID
9436131026
Professional Enrollment ID
I20160727000215
Address ID
PA183018260EX300XXCTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,144 OPHTHALMOLOGY in PA

Provider Addresses for ETHAN PAYNE (MD)

  • 300 PLAZA CT

    SUITE A

    EAST STROUDSBURG, PA 183018260

    Phone: (570) 421-8842

    Fax: (570) 476-5842

    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)

CMS reports 33 Open Payments records for all available years, with a total value of $812.

Total Amount is formed as General ($812) + Research ($0) + Ownership ($0) = $812.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($420).

Total Amount

$812

General + Research + Ownership

Payments

33

Total payment records

General Amount

$812

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-07-27

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
I20160727000215IOphthalmologyPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system699614$0
92134Imaging of retina691541$0
92012Established patient problem focused exam of visual system543350$0
92136Measurement of corneal curvature and depth of eye302184$0
66984Removal of cataract with insertion of prosthetic lens241147$0
View full utilization report →

Insurance plans in this area (ZIP 18301)

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Provider's Procedures

ETHAN PAYNE (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYPA92083Measurement of field of vision during daylight conditions2929
OPHTHALMOLOGYPA92134Diagnostic imaging of retina2424

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: 9436131026View full group profile
NameSpecialtyState
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
-PA
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P H T H A L M O L O G YNY
O P T O M E T R YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

Can I use this page to confirm ETHAN PAYNE (MD)'s NPI?
Yes. ETHAN PAYNE (MD) is listed with NPI 1598024093 in the public NPI dataset.
Does the file indicate ETHAN PAYNE (MD) is practicing under active NPI?
Directory data currently reports ETHAN PAYNE (MD) as active.
What taxonomy line describes ETHAN PAYNE (MD)?
For research purposes, treat ETHAN PAYNE (MD) as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is ETHAN PAYNE (MD) based?
ETHAN PAYNE (MD) is tied to East Stroudsburg, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is the information about ETHAN PAYNE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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