Physician

Stephen L Payne, M.D.

According to 2025 Medicare claims, Stephen Payne, M.D. (NPI: 1134190150) practices family practice in the Pittsfield, MA market, with the plurality of this provider's patient population coming from Berkshire, MA. This provider's primary affiliated billing organization is STEPHEN L PAYNE, MD, PC (NPI: 1457518193; TIN: 262456220) and primary practice location at 01267-2932.

Payne's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 617 traditional Medicare patients, billed 7,351 HCPCS/CPT codes, and received $409,168 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 7,600 prescription claims across 453 beneficiaries totaling $439,344 in drug costs, led by Ozempic (Semaglutide). DME data shows 477 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have risen steadily, from $311,898 to $439,344. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	564	6,155	$273,053
2016	610	6,401	$278,432
2017	640	7,122	$321,975
2018	651	6,686	$325,382
2019	670	6,766	$339,895
2020	656	7,069	$354,475
2021	669	7,526	$429,539
2022	655	5,881	$365,261
2023	647	5,818	$370,132
2024	617	7,351	$409,168

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	492	7,732	$311,898
2016	457	8,009	$294,143
2017	500	9,352	$355,090
2018	495	9,325	$419,739
2019	505	8,068	$361,116
2020	488	8,251	$434,006
2021	475	7,452	$417,585
2022	495	7,646	$497,970
2023	479	7,583	$528,655
2024	453	7,600	$439,344

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	124	750	$31,275
2016	119	635	$17,928
2017	156	653	$15,160
2018	119	648	$14,533
2019	79	597	$12,101
2020	122	576	$19,873
2021	64	571	$22,627
2022	68	450	$19,942
2023	42	520	$25,892
2024	64	477	$28,772

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	348	348	$132
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	421	799	$87
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	440	3,173	$46
99439	Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	277	847	$38
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	438	975	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	57	2,410	$73,112
Xarelto	Rivaroxaban	42	2,520	$47,515
Oxycontin	Oxycodone Hcl	20	596	$20,949
Trulicity	Dulaglutide	12	616	$20,641
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	29	960	$19,183

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	45	$14,909
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	14	107	$8,435
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	11	86	$1,479
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	27	69	$1,026
E0439	Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing	Y	N/R	12	$885

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Stephen L. Payne, M.D.?

Tedicare shows public-source Medicare data for Stephen L. Payne, M.D. (NPI 1134190150), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Stephen L. Payne, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Stephen L. Payne, M.D.?

Stephen L. Payne, M.D. is linked to STEPHEN L PAYNE, MD, PC (billing NPI 1457518193) in the available physician profile data.

Does Stephen L. Payne, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.