DR. PETER A HUMPHREY MD
NPI 1225056922
Pathology - Anatomic Pathology in Saint Louis, MO

Active since July 18, 2006PECOS Enrolled
73.56/100
CMS Quality Rating
216 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110(314) 362-5641(314) 362-0369 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peter A Humphrey Md NPPES

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

DR. PETER A HUMPHREY MD (NPI 1225056922) is an individual anatomic pathology provider in Saint Louis, Missouri, licensed in Missouri (100219) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225056922
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. PETER A HUMPHREYCredential: MD
Location Address216 S KINGSHIGHWAY BLVDSaint Louis, MO 63110-1026
Mailing Address300 George St, Fl 6New Haven, CT 06511-6624 · (203) 785-6610 · Fax (203) 785-6414
Fax(314) 362-0369
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateNovember 29, 2018
NPI 1225056922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License Licensed in MO · 100219
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

216 S KINGSHIGHWAY BLVD, Saint Louis, MO 63110

Other Identifiers 1

Medicaid023010176MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Peter A Humphrey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 8

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
227 services45 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
213 services89 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
178 services117 patients
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416
This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.
125 services124 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
119 services78 patients
Pathology examination of tissue using a microscope, limited examination 88300
A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
107 services97 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
216 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Pharmacist
216 S KINGSHIGHWAY BLVD, MAIL STOP:90-52411
SAINT LOUIS, MO 63110
Pathology (Anatomic Pathology)
216 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Pathology (Anatomic Pathology & Clinical Pathology)
216 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Pharmacist
216 S KINGSHIGHWAY BLVD, MAILSTOP: 90-52-411
SAINT LOUIS, MO 63110
Surgery
216 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
216 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Nurse Practitioner (Acute Care)
216 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110

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 Peter Humphrey's NPI number?

The NPI number for Peter Humphrey is 1225056922. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Peter Humphrey located?

Peter Humphrey practices at 216 S Kingshighway Blvd, Saint Louis, MO 63110. The listed phone number is (314) 362-5641.

What is Peter Humphrey's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Peter Humphrey enrolled in Medicare?

Yes. Peter Humphrey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Humphrey was last updated on November 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.