Theresa Payne, D.O.
NPI 1306858956 · Geriatric Medicine (Family Medicine) Physician · Madison, FL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Payne, D.O. is a Geriatric Medicine (Family Medicine) Physician provider in Madison, FL (NPI 1306858956).
Provider details
- NPI number
- 1306858956
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- OS9255 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
136 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 123 | $125 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 13 | $165 |
Typical Medicare-allowed amounts for these services range $125–$165 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 77 | 22 |
| Azithromycin | 72 | 40 |
| Gabapentin | 64 | 19 |
| Methylprednisolone | 47 | 30 |
| Metoprolol Succinate | 45 | 17 |
| Atorvastatin Calcium | 43 | 15 |
| Metformin Hcl | 42 | 14 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2016-06-30
Frequently asked questions
- What is Theresa Payne's NPI number?
- Theresa Payne's National Provider Identifier (NPI) is 1306858956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Payne's specialty?
- Theresa Payne is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Theresa Payne located?
- Theresa Payne's practice location on file with NPPES is 180 Nw Haynes St, Madison, FL 32340-2010.
- What is Theresa Payne's phone number?
- The practice phone number listed in the NPPES registry for Theresa Payne is (850) 973-1215.
- Does Theresa Payne accept Medicare?
- Theresa Payne is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Payne's NPI active?
- Yes — Theresa Payne's NPI (1306858956) is active in the NPPES registry as of the last update on 2016-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.