MR. MARLIN DALE JR. PAYNE (PA-C) – Physician Assistant, NPI 1336326024

MR. MARLIN DALE JR. PAYNE (PA-C) is a healthcare provider. based in Colorado city, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA07221 (TX). The NPI Number for MR. MARLIN DALE JR. PAYNE (PA-C) is 1336326024

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARLIN DALE JR. PAYNE (PA-C)
NPI
1336326024
Phone
(325) 728-3431
Address
MITCHELL COUNTY HOSPITAL DISTRICT
Enumeration Date
25 January 2008
Last Update Date
29 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3257541500519
Graduation Year
1999 (27 years ago)
PAC ID
8325310717
Group Practice PAC ID
6507757812
Professional Enrollment ID
I20170819000131
Address ID
TX795677439WI7571X153X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. MARLIN DALE JR. PAYNE (PA-C)

  • MITCHELL COUNTY HOSPITAL DISTRICT

    997 WEST INTERSTATE 20

    COLORADO CITY, TX 79512

    Phone: (325) 728-3431

    Fax: (325) 728-9452

    Type: Mailing

  • 1155, West Garza Street, Slaton, Texas, 79364, United States

    SLATON, TX 793643734

    Phone: (806) 470-5921

    Type: Mailing

  • BATALLION & 73RD STREET

    BLDG 420

    FORT HOOD, TX 76544

    Phone: (254) 618-8799

    Type: Location

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: 2017-08-19

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
I20170819000131IPhysician AssistantTXTBD

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 79512)

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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: 6507757812View full group profile
NameSpecialtyState
Physician AssistantWA
N E U R O L O G YTX
Physician AssistantTX
Nurse PractitionerCA
Physician AssistantWA
Nurse PractitionerTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

Can I use this page to confirm MR. MARLIN DALE JR. PAYNE (PA-C)'s NPI?
Yes. MR. MARLIN DALE JR. PAYNE (PA-C) is listed with NPI 1336326024 in the public NPI dataset.
Can I rely on MR. MARLIN DALE JR. PAYNE (PA-C) being an active provider?
As of the registry snapshot, MR. MARLIN DALE JR. PAYNE (PA-C) is marked active.
What healthcare role does MR. MARLIN DALE JR. PAYNE (PA-C) hold?
Scheduling teams often label MR. MARLIN DALE JR. PAYNE (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. MARLIN DALE JR. PAYNE (PA-C) list a practice location?
Patients near Colorado City, Texas may find MR. MARLIN DALE JR. PAYNE (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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