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Active NPI 1316071145 Individual Practitioner Male Practitioner

Dr. John C Payne , DO

Surgery - Plastic and Reconstructive Surgery • Jackson, WY

Professional Overview & Biography Verified Profile Summary

Dr. John Payne, DO is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Jackson, WY. Practice services are available at 555 E BROADWAY AVE STE 211 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

555 E Broadway Ave Ste 211

Jackson, WY 830018640

Telephone 3077397618
Fax 3077340077
Associated Practice Facility / Clinic
🏢 Hole Ortho Llc Facility NPI 1831871250

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Jackson, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Jackson, WY (2 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 23 $240.00 $128.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $335.00 $166.96

Medical Specialties & State Licenses

CMS Verified: 2021-01-18
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License WY 6651A

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
117561100 (WY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Rebecca Sjostrom , MD

Orthopaedic Surgery

NPI 1760654651

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 18, 2021

Registered at 555 E BROADWAY AVE STE 211, JACKSON, WY 830018640 (Tel: 3077397618)

📍
Updated Business Mailing Address January 18, 2021

Registered at PO BOX 428, JACKSON, WY 830010428 (Tel: 3077397618)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 555 E BROADWAY, SUITE 211, JACKSON, WY 83001 (Tel: 3077338070)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 8729, JACKSON, WY 830028729 (Tel: 3077338070)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PAYNE, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #6651A in WY)

🟢
Initial NPI Registration & Enumeration March 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316071145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2007
Last Update: January 18, 2021
Sole Proprietor: No

Mailing Address

Po Box 428

Jackson, WY 830010428

Phone: 3077397618

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.