JOSHUA PAYNE (DO) – Student in an Organized Health Care Education/Training Program, NPI 1083469993

JOSHUA PAYNE (DO) is a healthcare provider. based in Amarillo, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. The NPI Number for JOSHUA PAYNE (DO) is 1083469993

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA PAYNE (DO)
NPI
1083469993
Phone
(806) 414-9559
Address
1400 S COULTER ST STE 5100
Enumeration Date
23 April 2024
Last Update Date
23 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612030611
Graduation Year
2024 (2 years ago)
PAC ID
6901343508
Group Practice PAC ID
4587192430
Professional Enrollment ID
I20260226004212
Address ID
TX791061770AM1501XSTXX408
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

8,730 FAMILY PRACTICE in TX

Provider Addresses for JOSHUA PAYNE (DO)

  • 1400 S COULTER ST STE 5100

    AMARILLO, TX 791061786

    Phone: (806) 414-9559

    Fax: (806) 351-3765

    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)

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: 2026-02-26

PECOS data refreshed: 2026-06-15

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
I20260226004212IFamily PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79106)

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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: 4587192430View full group profile
NameSpecialtyState
Emergency MedicineFL
Internal Medicine, Hospitalist, Internal Medicine, HospitalistNM
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency MedicineCA
Emergency MedicineOR

Reviews

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Frequently asked questions

What NPI should I save for JOSHUA PAYNE (DO)?
Save NPI 1083469993 if you need a stable reference for JOSHUA PAYNE (DO).
Is JOSHUA PAYNE (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JOSHUA PAYNE (DO) work in?
You can think of JOSHUA PAYNE (DO) as practicing within Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Does JOSHUA PAYNE (DO) practice in Texas?
You will see Amarillo, Texas on file for JOSHUA PAYNE (DO) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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