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On July 9, 2019, Payton signed with the New York Knicks. He struggled with injuries early in the season, missing 17 straight games. Upon returning, he provided playmaking ability the Knicks were lacking and was promoted to the starting lineup. On January 31, 2020, Payton received a one-game suspension for pushing Jae Crowder in a January 29 game against the Memphis Grizzlies. On February 3, Payton recorded the 17th triple-double of his career with 17 points, 11 rebounds and 15 assists in a 139–134 overtime win over the Cleveland Cavaliers. In the next game, on February 6, he recorded 15 points, nine assists and a career-high seven steals in a 105–103 win over the Orlando Magic.

On February 8, 2018, Payton was traded to the Phoenix Suns in exchange for a 2018 second-round pick. He made his debut for the Suns two days later, recording 19 points, nine assists and six rebounds in 35 minutes in a 123–113 loss to the Denver Nuggets. In his second game for the Suns on February 12, Payton scored a game-high 29 points in a 129–83 loss to the Golden State Warriors. Two days later, he had a triple-double with 13 points, 11 rebounds and 12 assists in a 107–97 loss to the Utah Jazz. On March 4, 2018, he had 11 points, 10 rebounds and a season-high 14 assists in a 113–112 loss to the Atlanta Hawks. It was his second triple-double in nine games with the Suns—his nine games needed with the team to record two triple-doubles are the fewest ever by a Suns player.

On July 9, 2018, Payton signed with the New Orleans Pelicans. In his debut for the Pelicans in their season opener on October 17, 2018, Payton recorded 10 points, 10 rebounds and 10 assists in a 131–112 win over the Houston Rockets. Payton's minimalist triple-double made him the first player to record exactly 10 points, 10 rebounds and 10 assists in a single game since March 2, 2013, when Kyle Lowry did it for Toronto. It was Payton's 11th career triple-double. On November 16, against the New York Knicks, Payton returned to the lineup after missing nine games with a sprained right ankle, only to fracture a finger in his left hand after eight minutes on the court. He was subsequently ruled out for approximately six weeks. He returned to action on December 31 against the Minnesota Timberwolves after a 22-game absence. In his second game back on January 2, he scored 25 points in a 126–121 loss to the Brooklyn Nets. On March 10, he had 15 points, 10 rebounds and 10 assists in a 128–116 loss to the Atlanta Hawks. On March 12, he had his second consecutive triple-double with 14 points, a career-high 15 rebounds and 11 assists in a 130–113 loss to the Milwaukee Bucks, becoming the first New Orleans player to have a triple-double in consecutive games since Chris Paul in 2008. On March 15, he had his third consecutive triple-double with 14 points, 12 rebounds and a career-high 16 assists in a 122–110 loss to the Portland Trail Blazers. The next day, he recorded his fourth straight triple-double with 16 points, 16 assists and 13 rebounds in a 138–136 overtime loss to the Phoenix Suns, joining James Harden, Magic Johnson, Michael Jordan and Russell Westbrook as the only players since the 1983–84 season to record triple-doubles in as many as four straight games, and eighth in NBA history. Payton recorded his fifth consecutive triple-double two days later with 19 points, 11 assists and 10 rebounds in a 129–125 overtime win over the Dallas Mavericks. He also tied Chris Paul for most triple-doubles in a season in franchise history with six, and became only the fifth player to record five consecutive triple-doubles, joining Wilt Chamberlain, Michael Jordan, Oscar Robertson, and Russell Westbrook.

Payton was well known for his free-flowing hairstyle during his first four seasons in the NBA, before cutting his hair in May 2018. During his time with the Orlando Magic, his hairdo made him a fan favorite.

Payton missed eight games early on the season 2017–18 season because of a left hamstring injury. An important piece in the Magic's offense, he had 11 points and 11 assists in 29 minutes in his return on November 8, helping the team end a two-game losing streak with a 112–99 win over the New York Knicks. On November 22, he had a season-high 13 assists in a 124–118 loss to the Minnesota Timberwolves. On December 23, 2017, he scored a career-high 30 points in a 130–103 loss to the Washington Wizards.

On December 6, 2016, Payton scored 22 of his career-high 25 points in the first half of the Magic's 124–116 win over the Washington Wizards. He bested that mark on December 13, 2016, recording career highs with 26 points and 14 assists in a 131–120 win over the Atlanta Hawks. On January 14, 2017, he had a career-high 28 points and added nine rebounds and nine assists in a 114–107 loss to the Utah Jazz. On March 6, 2017, he had his first triple-double of the season with 16 points, 10 assists and 11 rebounds in a 113–105 loss to the New York Knicks. Two days later, he had his second straight triple-double with 22 points, 14 rebounds and 14 assists in a 98–91 win over the Chicago Bulls. On March 13, 2017, in a 120–115 loss to the Sacramento Kings, Payton had 13 points, 13 assists and 10 rebounds for his third triple-double of the season. On March 24, he continued his impressive run with 14 points, 11 rebounds and 10 assists in a 115–87 win over the Detroit Pistons. It was his fourth triple-double in 10 games and seventh of his career. Seven days later, he recorded a career-high 15 assists to go with 12 points and nine rebounds in a 117–116 loss to the Boston Celtics. On April 1, he had 20 points, 11 assists and 11 rebounds for his fifth triple-double of the season in the Magic's 121–111 loss to the Brooklyn Nets.

On November 18, 2015, Payton scored a then career-high 24 points in a 104–101 win over the Minnesota Timberwolves. Payton appeared in 116 straight games to begin his career before a left ankle injury forced him to sit out four games in early January 2016. He returned to action on January 14 in London to face the Toronto Raptors, coming off the bench for the first time in 2015–16 and recording four points and four rebounds in a 106–103 overtime loss. On March 23, 2016, he recorded his third career triple-double with 20 points, 10 rebounds and 10 assists in a 118–102 loss to the Detroit Pistons.

In April 2014, Payton declared for the NBA draft, forgoing his final year of college eligibility.

On June 26, 2014, Payton was selected with the 10th overall pick in the 2014 NBA draft by the Philadelphia 76ers. He was traded to the Orlando Magic on draft night for Dario Šarić, a future first-round pick, and a future second-round pick. On July 2, he signed his rookie scale contract with the Magic. He made his NBA debut on October 29, 2014 in a loss to the New Orleans Pelicans. On January 16, 2015, Payton had a season-best game with 22 points and 12 assists in a loss to the Memphis Grizzlies. He was subsequently named the Eastern Conference Rookie of the Month for January and was named a Rising Stars Challenge participant. On March 18, he recorded his first career triple-double with 15 points, 12 assists and 10 rebounds in a loss to the Dallas Mavericks. With a second straight triple-double recorded by Payton on March 20, he became the first Magic player to post consecutive triple-doubles and the first NBA rookie to do it since Antoine Walker, with the Boston Celtics in 1997. Payton's 22 points, 10 rebounds and 10 assists helped the Magic claim a 111–104 win over the Portland Trail Blazers.

Payton was an unheralded recruit from John Ehret High School in Jefferson Parish, Louisiana. He chose to attend Louisiana–Lafayette, and after a promising freshman season in 2011–12, Payton came into his own as a sophomore in 2012–13. He averaged 15.9 points, 5.6 rebounds, 5.5 assists and 2.4 steals per game and was named first team All-Sun Belt Conference.

After his breakout sophomore season, Payton was a late addition to Team USA's U19 World Championships Trials Roster to compete in the 2013 FIBA Under-19 World Championship. After making the team, Payton started in all nine games for Team USA, on a team loaded with talent including other players such as Marcus Smart, Aaron Gordon, Jahlil Okafor and Jarnell Stokes. The team ultimately defeated the Serbian team led by Vasilije Micić and won the gold medal, going 9–0 in the tournament.

As a junior in 2013–14, Payton emerged as one of the top defensive players in college basketball. He raised his averages to 19.2 points, 5.9 assists, 6.0 rebounds and 2.3 steals per game and led the Ragin' Cajuns to the 2014 NCAA Tournament. He was again named first team All-Sun Belt and was the conference Defensive Player of the Year. At the end of the season, he was named the National Defensive Player of the Year by winning the Lefty Driesell Award.

In the summer of 2013, Payton was a surprise selection to the United States team for the 2013 FIBA Under-19 World Championship. He averaged 6.1 points and 3.3 rebounds per game in nine games.

Elfrid Payton Jr. (born February 22, 1994) is an American professional basketball player for the New York Knicks of the National Basketball Association (NBA). He played college basketball at University of Louisiana at Lafayette, where in 2014 he won the Lefty Driesell Award as the National College Defensive Player of the Year. Payton was drafted with the 10th overall pick in the 2014 NBA draft by the Philadelphia 76ers, but was then traded to the Orlando Magic. He spent three and a half seasons in Orlando before being traded to the Phoenix Suns in February 2018.