Dr. Richard Edward Payha, MD
- Medicare services, 2024
- 52
- Medicare patients, 2024
- 68
- Part D claims, 2024
- 27
- MIPS score, 2024
- 91
- Hospital affiliations
- 2
- Practice address
- 1306 Maple St, Eldorado, IL 62930
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Ferrell Hospital Family Practice - HOPD
Critical Access Hospital · Eldorado, Illinois
Find Dr. Payha's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Richard Edward Payha is a general surgeon in Eldorado, Illinois
Dr. Payha practices at Ferrell Hospital Family Practice - HOPD in Eldorado, Illinois.
Dr. Payha's NPI, 1396734745, was assigned on October 18, 2005. Dr. Payha graduated from University of Pittsburgh School of Medicine in 1988. Dr. Payha holds Pennsylvania license MD050114L.
- NPI
- 1396734745NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2062481559
- NPI enumeration date
- October 18, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 64
- Medical school graduation
- 1988
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Richard Edward Payha practices at Ferrell Hospital Family Practice - HOPD in Eldorado, Illinois
Dr. Payha's primary practice is Ferrell Hospital Family Practice - HOPD, at 1306 Maple St, Eldorado, IL 62930.
- Ferrell Hospital Family Practice - HOPD1306 Maple St, Eldorado, IL 62930
Source: Dmand AI Affiliation Data
Dr. Richard Edward Payha is affiliated with 4 sites of care and 2 medical groups
Dr. Payha's primary practice is Ferrell Hospital Family Practice - HOPD in Eldorado, Illinois. Dr. Payha is also affiliated with Ferrell Hospital. The medical group on file is Ferrell Hospital. Dmand AI also links Dr. Payha to 1 more group practice or clinic, 1 rural health clinic and 1 medical group, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Richard Edward Payha's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Payha practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Ferrell Hospital Family Practice - HOPD | Available with a free account |
| +3 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Richard Edward Payha is one of 1,217 general surgeons in Illinois
Surgery is Dr. Payha's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Payha is board certified in surgery by the American Board of Surgery. Dmand AI has Dr. Payha's licenses on file in 4 states: Pennsylvania, Florida, Illinois and Ohio.
Specialties and state licenses
- Surgery, PennsylvaniaPrimary
- Florida license
- Illinois license
- Ohio license
General surgeons near Dr. Payha
Counts of general surgeons with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Richard Edward Payha billed Medicare for 52 services in 2024
CMS data shows 52 Medicare services from Dr. Payha across 3 procedure codes in 2024, all of them office visits, for 68 Medicare patients. Medicare paid $1,721 for them.
Dr. Payha's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 182024: 52189%
Where Dr. Payha's Medicare services took place, 2024
- In an office1121%
- In a facility4179%
Dr. Payha compared with the Illinois median for general surgeons, 2024
- Dr. Payha
- Illinois median
- Medicare services
- 52vs 19473% below
- Medicare patients
- 68vs 14453% below
- Part D claims
- 26vs 287% below
Medians across 1,031 general surgeons in Illinois with Dmand AI profiles that report each measure.
Dr. Payha's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Richard Edward Payha treated 68 Medicare patients in 2024, average age 72
CMS counts 68 Medicare patients who saw Dr. Payha in 2024. The largest group is 65 to 74, with 30 patients. 75% of them have high blood pressure, and 69% have high cholesterol. 32% are also on Medicaid. Their average risk score is 1.60, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Payha's median patient age at 71, with 60% women.
Dr. Payha's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Payha's Medicare patients by sex, 2024
- Women3146%
- Men3754%
Chronic conditions among Dr. Payha's Medicare patients, 2024
- High blood pressure75%
- High cholesterol69%
- Arthritis56%
- Anxiety40%
- Diabetes37%
- Depression32%
- Mood disorders32%
- Chronic kidney disease31%
Share of Medicare patients with each condition. A patient can have several.
Dr. Payha's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 71
Patient panel by sex, all payers
- Women60%
- Men39%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Richard Edward Payha wrote 27 Medicare Part D claims in 2024
In 2024, Dr. Payha wrote 27 Medicare Part D claims for 22 patients. 100% of them were for generic drugs. CMS names the drug for 26 of them, across 1 drug with 11 or more claims each, at $132 in total drug cost. In 2021, CMS named 25 claims across 1 drug.
Dr. Payha's most prescribed drugs by claims, 2022
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2021 to 2022
- 2021
- 2022
- Claims for drugs CMS names
- 2021: 252022: 264%
Drugs named by CMS: 1 in 2022, 1 in 2021.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Richard Edward Payha scored 91 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 91 out of 100 for Dr. Payha for performance year 2024, reported through an alternative payment model (APM). Dr. Payha accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 14 procedures of colonoscopy by Dr. Payha, more than 44% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Payha's MIPS scores, performance year 2024
- 91of 100Final score
- 72.1of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Payha ranks in Medicare procedure volume
- Colonoscopy
- 44th percentile14 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Hernia repair - groin (open): 1 to 10 procedures (CMS shows small counts as a range)
Mastectomy: 1 to 10 procedures (CMS shows small counts as a range)
Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)
Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)
Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)
Upper gastrointestinal (GI) endoscopy for acid reflux: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Richard Edward Payha received $1,781 in industry payments from 2016 to 2025
CMS Open Payments shows 26 general payments to Dr. Payha from 12 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 64% of the total. Intuitive Surgical, Inc. paid the most, $1,182.
General payments to Dr. Payha by program year, 2016 to 2025
General payments to Dr. Payha by kind, 2016 to 2025
- Food and beverage$1,14564%
- Travel and lodging$63636%
Companies that paid Dr. Payha the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Richard Edward Payha has 1 award and honors on record
Dmand AI lists 1 award for Dr. Payha.
Awards and honors for Dr. Payha
- Undated
- ACS Fellow
Source: Dmand AI Professional Profile Data
Dr. Richard Edward Payha graduated from University of Pittsburgh School of Medicine
Dr. Payha graduated from University of Pittsburgh School of Medicine in 1988. Dr. Payha is a member of ACS.
- Medical school
- Board certified in surgery
Source: Dmand AI Professional Profile Data
Dr. Richard Edward Payha accepts plans from 18 insurance carriers
Dr. Payha is in network with 18 carriers, including Aetna, Elevance and HCSC. Medicare plans come from the most carriers, 11. Check the plan with the practice before a visit.
- Aetna
- Elevance
- HCSC
- Highmark
- United Healthcare
- Blue Cross Blue Shield of Michigan
- Cigna
- Aspirus Health Plan
- +10 more carriersWith a free account
Plan types Dr. Payha accepts, by number of carriers
- Medicare11
- PPO11
- HMO9
- POS7
- EPO5
- Medicaid3
Source: Dmand AI Insurance Network Data
Sources for Dr. Richard Edward Payha's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Richard Edward Payha
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Richard Edward Payha's NPI number?
Dr. Richard Edward Payha's NPI number is 1396734745. It was assigned on October 18, 2005, and it is active in the NPI Registry.
What kind of doctor is Dr. Richard Edward Payha?
Dr. Richard Edward Payha is a general surgeon in Eldorado, Illinois. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).
Where does Dr. Richard Edward Payha practice?
Dr. Payha practices at 1306 Maple St, Eldorado, IL 62930. Dr. Payha's primary practice is Ferrell Hospital Family Practice - HOPD in Eldorado, Illinois. Dmand AI also links Dr. Payha to 1 group practice or clinic, 1 rural health clinic and 1 medical group.
What is Dr. Richard Edward Payha's medical license number?
Dr. Payha holds Pennsylvania license MD050114L, one of the licenses on file in 4 states.
Which states has Dr. Richard Edward Payha been licensed in?
Dmand AI has state licenses on file for Dr. Payha in Pennsylvania (1993 to 2026), Florida (2023 to 2027), Illinois (2023 to 2026) and Ohio (1990 to 1994).
Which hospitals is Dr. Richard Edward Payha affiliated with?
Dr. Payha is affiliated with Ferrell Hospital. Dmand AI links Dr. Payha to 1 more hospital.
What medical group is Dr. Richard Edward Payha part of?
Dr. Payha is linked to Ferrell Hospital. Dmand AI links Dr. Payha to 1 more medical group.
Does Dr. Richard Edward Payha accept Medicare?
Yes. CMS data shows Dr. Payha billed Medicare for 52 services in 2024, and Dr. Payha accepts Medicare assignment.
What is Dr. Richard Edward Payha's MIPS score?
Dr. Payha's MIPS final score for performance year 2024 is 91 out of 100, reported through an alternative payment model (APM).
How many Medicare patients does Dr. Richard Edward Payha see?
CMS counts 68 Medicare patients who saw Dr. Payha in 2024, with an average age of 72.
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Is Dr. Richard Edward Payha board certified?
Yes. Dr. Payha is board certified in surgery by the American Board of Surgery.
What services does Dr. Richard Edward Payha bill to Medicare?
In 2024, Dr. Payha's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99212) and office visit, new patient (99203).
Where did Dr. Richard Edward Payha go to medical school?
Dr. Payha graduated from University of Pittsburgh School of Medicine in 1988.
What drugs does Dr. Richard Edward Payha prescribe most?
In 2022 Medicare Part D data, Dr. Payha's most prescribed drugs by claims were Hydrocodone-Acetaminophen.
Has Dr. Richard Edward Payha received payments from drug or device companies?
CMS Open Payments shows $1,781 in general payments to Dr. Payha from 12 companies from 2016 to 2025. The largest total came from Intuitive Surgical, Inc.
How long has Dr. Richard Edward Payha been practicing?
Dr. Payha graduated from medical school in 1988, 38 years ago.
What insurance does Dr. Richard Edward Payha accept?
Dr. Payha is in network with 18 carriers, including Aetna, Elevance and HCSC. Medicare plans come from the most carriers, 11. Check the plan with the practice before a visit.
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