DR. HUMEYRA KARACAL MD
NPI 1144316944
Ophthalmology in Festus, MO

Q: What is Humeyra Karacal's NPI number?

The NPI number for Humeyra Karacal is 1144316944. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Humeyra Karacal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Humeyra Karacal was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

1400 US HIGHWAY 61 STE 130, FESTUS, MO 63028(636) 937-3751(636) 931-6561 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2020, Nov 14, 2016 (2 updates tracked since 2016).

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About Dr. Humeyra Karacal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HUMEYRA KARACAL MD (NPI 1144316944) is an individual ophthalmology provider in Festus, Missouri, licensed in Missouri (2007018569) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1144316944

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. HUMEYRA KARACALCredential: MD

Location Address1400 US HIGHWAY 61 STE 130Festus, MO 63028-4141

Mailing AddressPo Box 13Crystal City, MO 63019-0013 · (636) 937-3751 · Fax (636) 931-6561

Phone(636) 937-3751

Fax(636) 931-6561

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration

NPPES CertifiedJuly 14, 2020

✔ NPI 1144316944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MO · 2007018569

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1400 US HIGHWAY 61 STE 130, Festus, MO 63028

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Other Identifiers 2

MedicaidENROLLEDIL

Medicaid204038707MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Humeyra Karacal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587764808

PECOS Enrollment IDI20070716000091

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Humeyra Karacal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premiere Eye Associates, P.C.

2.7 mi

Ophthalmology

1400 HWY 61 SOUTH, SUITE 130
Crystal City, MO 63019

Reassigned Medicare billing, Missouri enrollment
3 clinicians in this Medicare group

NPI 1740201482 (636) 937-8855

Ste Genevieve County Memorial Hospital

24 mi

Critical Access

800 STE GENEVIEVE DR
Ste Genevieve, MO 63670

Reassigned Medicare billing, Missouri enrollment
88 clinicians in this Medicare group

NPI 1073587655 (573) 883-2751

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

449 services416 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

208 services147 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

200 services192 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

158 services118 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

127 services127 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

126 services125 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

115 services77 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

97 services96 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

50 services50 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

38 services35 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services28 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

20 services15 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

16 services16 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260023

Location1400 Us Highway 61Festus, MO 63028 · Jefferson County

Emergency services

Ste Genevieve County Memorial Hospital

Critical Access Hospitals · Sainte Genevieve, MO

OwnershipGovernment - Hospital District or Authority

CMS Certification Number261330

Location800 Ste Genevieve Drive, PO Box 468Sainte Genevieve, MO 63670 · Ste. Genevieve County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Humeyra Karacal's NPI number?

The NPI number for Humeyra Karacal is 1144316944. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Humeyra Karacal located?

Humeyra Karacal practices at 1400 Us Highway 61 Ste 130, Festus, MO 63028. The listed phone number is (636) 937-3751.

What is Humeyra Karacal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Humeyra Karacal enrolled in Medicare?

Yes. Humeyra Karacal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Humeyra Karacal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Humeyra Karacal reassigns Medicare benefits to 2 organizations: Premiere Eye Associates, P.C. (Crystal City, MO) and Ste Genevieve County Memorial Hospital (Ste Genevieve, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Humeyra Karacal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Humeyra Karacal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 13 other insurers list Humeyra Karacal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Humeyra Karacal affiliated with any hospitals?

According to CMS data, Humeyra Karacal is affiliated with Mercy Hospital Jefferson and Ste Genevieve County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Humeyra Karacal was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.