ANGELINA PAYNE (PA-C) – Physician Assistant, NPI 1639682065
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Loading map...
Provider Addresses for ANGELINA PAYNE (PA-C)
P.O. BOX 961205
FORT WORTH, TX 761611205
Phone: (817) 740-8450
Type: Mailing
200, Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761042254
Phone: (817) 920-0484
Fax: (817) 920-0389
Type: Location
3240 LIPSCOMB ST
FORT WORTH, TX 761104039
Phone: (817) 966-3089
Type: Mailing
800 MEDICAL CENTER DR STE C
DECATUR, TX 762343844
Phone: (940) 626-2110
Type: Location
1015 W BLUFF ST
FORT WORTH, TX 761021810
Phone: (817) 966-3089
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $328.
Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: LivaNova USA, Inc. ($252).
Total Amount
$328
General + Research + Ownership
Payments
12
Total payment records
General Amount
$328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LivaNova USA, Inc. | $252 |
| Acclarent, Inc | $36 |
| Becton, Dickinson and Company | $22 |
| Integra LifeSciences Corporation | $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: 2017-12-08
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 |
|---|---|---|---|---|
| I20171208002470 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 166 | 111 | $0 |
| 92504 | Exam of ear using a microscope | 164 | 125 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 90 | 90 | $0 |
| 69210 | Removal of impacted ear wax | 40 | 32 | $0 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 14 | 13 | $0 |
Insurance plans in this area (ZIP 76161)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Qualified Audiologist | TX | |
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX | |
| Qualified Audiologist | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.