DR. JOHN STEWART HUMPHREY MD
NPI 1467496646
Plastic Surgery in Cape Girardeau, MO

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
98.16/100
CMS Quality Rating
319 S SILVER SPRINGS RD, STE C, CAPE GIRARDEAU, MO 63703(573) 334-4263(573) 334-3699 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Stewart Humphrey Md NPPES

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

DR. JOHN STEWART HUMPHREY MD (NPI 1467496646) is an individual plastic surgery provider in Cape Girardeau, Missouri, licensed in Missouri (2009 023 891) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Tulane University School Of Medicine (2000).

NPPES Registry Identity

NPI1467496646
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. JOHN STEWART HUMPHREYCredential: MD
Location Address319 S SILVER SPRINGS RD, STE CCape Girardeau, MO 63703-6308
Mailing Address319 S Silver Springs Rd, Ste CCape Girardeau, MO 63703-6308 · (573) 334-4263 · Fax (573) 334-3699
Fax(573) 334-3699
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2000
Enumeration DateJune 16, 2006
Last NPPES UpdateOctober 8, 2010
NPI 1467496646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses Licensed in MO · 2009 023 891 Licensed in CA · A99381 Licensed in FL · ME95230
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
319 S SILVER SPRINGS RD, Cape Girardeau, MO 63703

Other Identifiers 10

Medicaid507543601MO
Other1270930001Noridian/medicare D-merc
Other979387Healthlink
Other000000633050MO · Anthem Blue Cross Blue Shield
Medicare PIN146720001
OtherP00792431Railroad Medicare
Other43-1817986Comp Results Workers Comp
Other43-1817986Corvel Workers Comp
Other43-1817986Tricare/champus/va
OtherPENDINGGreat West

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Stewart Humphrey 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 ID9032213459
PECOS Enrollment IDI20090901000534
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 12

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
303 services173 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
280 services165 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
240 services150 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
169 services113 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 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.
41 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Madison Medical Center

Critical Access Hospitals · Fredericktown, MO
OwnershipVoluntary non-profit - Other
CMS Certification Number261302
Location611 W Main StFredericktown, MO 63645 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

98.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.32
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
85%188 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
71%427 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
97%1,155 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%416 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%750 patients5/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 435 patients
Patients totalRate: 0% · 435 patients
0%435 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Anesthesiology
319 S SILVER SPRINGS RD, STE A
CAPE GIRARDEAU, MO 63703
Plastic Surgery
319 S SILVER SPRINGS RD, STE C
CAPE GIRARDEAU, MO 63703
Clinic/Center (Ambulatory Surgical)
319 S SILVER SPRINGS RD, SUITE B
CAPE GIRARDEAU, MO 63703
Ophthalmology
319 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Clinic/Center (Ambulatory Surgical)
319 S SILVER SPRINGS RD, STE B
CAPE GIRARDEAU, MO 63703
Plastic Surgery
319 S SILVER SPRINGS RD, STE C
CAPE GIRARDEAU, MO 63703
Pain Medicine (Pain Medicine)
319 S SILVER SPRINGS RD, STE A
CAPE GIRARDEAU, MO 63703

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 John Humphrey's NPI number?

The NPI number for John Humphrey is 1467496646. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is John Humphrey located?

John Humphrey practices at 319 S Silver Springs Rd Ste C, Cape Girardeau, MO 63703. The listed phone number is (573) 334-4263.

What is John Humphrey's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is John Humphrey enrolled in Medicare?

Yes. John Humphrey 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.

What insurance does John Humphrey accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list John Humphrey 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 John Humphrey affiliated with any hospitals?

According to CMS data, John Humphrey is affiliated with Mercy Hospital Southeast, Saint Francis Medical Center and Madison Medical Center.

When was this NPI record last updated?

The NPPES record for John Humphrey was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.