Doctor profile · Federal record

Dr. Carly Payne, PA-C

Physician Assistant · Physician Assistant · Lees Summit, MO

  • NPI 1023635380
  • Accepts Medicare
  • 6 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
2861 Ne Independence Ave Ste 201
Lees Summit, MO 640642379
(816) 525-2840
fax (816) 525-2841
Additional location
11340 Nall Ave Ste 200
Overland Park, KS 662111234

Credentials & registration

NPPES · NUCC
NPI registered
July 2020 — 6 yrs on file
Profile last updated
June 18, 2024
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Missouri #2020027179 · Kansas #1502351

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1023635380. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
326
Distinct HCPCS
8
Medicare allowed
$25,050
HCPCS Description Services Patients Avg allowed
72110 X-ray of lower and sacral spine, minimum of 4 views 72 72 $42
99213 Established patient office or other outpatient visit, 20-29 minutes 62 52 $73
99214 Established patient office or other outpatient visit, 30-39 minutes 43 40 $100
99204 New patient office or other outpatient visit, 45-59 minutes 41 41 $133
99203 New patient office or other outpatient visit, 30-44 minutes 40 40 $92
72050 X-ray of upper spine, 4-5 views 26 26 $43
63048 Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 24 14 $28
63047 Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 18 18 $129

In context: peer comparison

Among 12 peers in this city , average services per provider: 203. This provider delivers 1.6× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$17
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Bioventus LLC 1 $17.42

By nature of payment

Food and Beverage
$17

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
43
Patients
27
Total drug cost
$595
Drug Type Claims Patients Total cost
Gabapentin Generic 43 27 $595

Frequently asked questions

Auto-generated from federal data
What is Dr. Carly Payne's medical specialty?
Dr. Carly Payne practices Physician Assistant in Lees Summit, MO.
Where does Dr. Carly Payne practice?
Dr. Carly Payne practices at 2861 Ne Independence Ave Ste 201, Lees Summit, MO 640642379. Office phone: 8165252840.
What is Dr. Carly Payne's NPI?
Dr. Carly Payne's National Provider Identifier (NPI) is 1023635380, issued by NPPES.
Does Dr. Carly Payne accept Medicare assignment?
Yes. Dr. Carly Payne accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Carly Payne commonly perform?
Top Medicare-reported procedures in 2023: X-ray of lower and sacral spine, minimum of 4 views (HCPCS 72110); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.