Matthew D Payne
EAST FALLS FAMILY MEDICINE LLC


Address: 3200 Channing Way, Suite 304, Idaho Falls, ID 83404-7546
Phone: 2085354567

Matthew D Payne (NPI# 1023246550, PAC ID# 5698926640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1023246550
PAC ID by PECOS 5698926640
Professional Enrollment ID I20141211000723
Full Name Matthew D Payne
Organization Legal Name EAST FALLS FAMILY MEDICINE LLC
Address 3200 Channing Way
Suite 304
Idaho Falls
ID 83404-7546
Phone Number 2085354567
Gender M
Graduation Year 2009
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 9830334200
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130018 EASTERN IDAHO REGIONAL MEDICAL CENTER
130065 MOUNTAIN VIEW HOSPITAL

Other Locations

Address Phone Organization
3200 Channing Way, Suite 304, Idaho Falls, ID 83404-7546 2085354567 EAST FALLS FAMILY MEDICINE LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name EAST FALLS FAMILY MEDICINE LLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Terry L Thompson Nurse Practitioner East Falls Family Medicine LLC 3200 Channing Way, Suite 304, Idaho Falls, ID 83404-7546
David L Hill Family Medicine East Falls Family Medicine LLC 3200 Channing Way, Suite 304, Idaho Falls, ID 83404-7546
Jaren H Blake Family Medicine East Falls Family Medicine LLC 2860 Channing Way, Suite 220, Idaho Falls, ID 83404-7541

Office Location

Street Address 3200 CHANNING WAY
SUITE 304
City IDAHO FALLS
State ID
Zip 83404-7546

Physicians in the same location

Name Specialty Organization Address
Terry L Thompson Nurse Practitioner East Falls Family Medicine LLC 3200 Channing Way, Suite 304, Idaho Falls, ID 83404-7546
Terry R Baker Otolaryngology 3200 Channing Way, Suite A105, Idaho Falls, ID 83404-7561
Duncan D Harris Urology Idaho Physician Services Inc 3200 Channing Way, Suite A205, Idaho Falls, ID 83404-7586
Lance Glen Jacobson Orthopedic Surgery Idaho Physician Services Inc 3200 Channing Way, Suite A205, Idaho Falls, ID 83404-7586
David L Hill Family Medicine East Falls Family Medicine LLC 3200 Channing Way, Suite 304, Idaho Falls, ID 83404-7546
Gary A Dildy Iii Obstetrics/gynecology Mountain States Neonatology Inc 3200 Channing Way, A102, Idaho Falls, ID 83404-7561

Physicians in the same zip code

Name Specialty Organization Address
Elizabeth Ann Sharp-marsden Nurse Practitioner 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225
Lisa Hong Occupational Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Brent Kennedy Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Heidi Duran Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Rebecca L Butikofer Occupational Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Kristan Bullock Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Dawn Taylor Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Brenda Padron Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Kimberly Stowell Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Michael Anderson Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Find all physicians in zip 83404

Competitor

Search similar physicians

City IDAHO FALLS
Zip Code 83404
Specialty FAMILY MEDICINE
City + Specialty IDAHO FALLS + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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