Matthew W Payne, MD - Medicare Family Practice in Raleigh, NC

Matthew W Payne, MD is a medicare enrolled "Family Medicine" physician in Raleigh, North Carolina. He went to University Of Virginia School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Legacy Healthcare Services Inc, Wake Specialty Physicians Llc, Select Physical Therapy Holdings Inc and his current practice location is 2406 Blue Ridge Rd, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 954-4160.

Matthew W Payne is licensed to practice in North Carolina (license number 2012-01670) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568521516.

Contact Information

Matthew W Payne, MD
2406 Blue Ridge Rd,
Raleigh, NC 27607-6678
(919) 954-4160
Not Available

Map and Direction




Physician's Profile

Full NameMatthew W Payne
GenderMale
SpecialityFamily Practice
Experience20 Years
Location2406 Blue Ridge Rd, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew W Payne attended and graduated from University Of Virginia School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1568521516
  • Provider Enumeration Date: 12/06/2006
  • Last Update Date: 02/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6709971898
  • Enrollment ID: I20130328000045

Medical Identifiers

Medical identifiers for Matthew W Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568521516NPI-NPPES
302198OtherVAANTHEM
C06695OtherVAGROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101238988 (Virginia)Secondary
207Q00000XFamily Medicine 2012-01670 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wakemed Home HealthRaleigh, NCHome health agency
Wakemed, Raleigh CampusRaleigh, NCHospital
Wakemed, Cary HospitalCary, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223341
Wake Specialty Physicians Llc7416006085153
Select Physical Therapy Holdings Inc95370764011557

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew W Payne allows following entities to bill medicare on his behalf.
Entity NameDuke University Affiliated Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316975972
PECOS PAC ID: 3779489588
Enrollment ID: O20031211000642
Entity NameWake Specialty Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942440375
PECOS PAC ID: 7416006085
Enrollment ID: O20090601000520

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew W Payne is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Matthew W Payne, MD
5213 S Alston Ave,
Durham, NC 27713-4430

Ph: (919) 620-4467
Matthew W Payne, MD
2406 Blue Ridge Rd,
Raleigh, NC 27607-6678

Ph: (919) 954-4160

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.