1. Home
  2. Directory
  3. Wisconsin
  4. Mount Pleasant
  5. Emergency Medicine
  6. NPI Profile

DR. JOSEPH THOMAS HUMPHREY M.D.
NPI 1477610434
Emergency Medicine in Mount Pleasant, WI

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
3801 SPRING ST, MOUNT PLEASANT, WI 53405(262) 687-4201(262) 687-4334 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Joseph Thomas Humphrey M.d. NPPES

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

DR. JOSEPH THOMAS HUMPHREY M.D. (NPI 1477610434) is an individual emergency medicine provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (51134-20) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1477610434
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOSEPH THOMAS HUMPHREYCredential: M.D.
Location Address3801 SPRING STMount Pleasant, WI 53405-1667
Mailing Address3801 Spring StMount Pleasant, WI 53405-1667 · (262) 687-4201 · Fax (262) 687-4334
Phone(262) 687-4201
Fax(262) 687-4334
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMarch 31, 2017
✔ NPI 1477610434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WI · 51134-20✔ Licensed in MI · 4301099122
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3801 SPRING ST, Mount Pleasant, WI 53405
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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. Joseph Thomas Humphrey M.d. 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 ID749418069
PECOS Enrollment IDI20141028002656
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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
230 services206 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
141 services132 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
111 services107 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services36 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

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.

JANE COLLINS RD
Dietitian, Registered
3801 SPRING ST
RACINE, WI 53405
Racine County (262) 687-5035
DR. VIJAYASHREE P SHANKAR
Anesthesiology
3801 SPRING ST
RACINE, WI 53405
Racine County (262) 687-4011
MAGGIE A RASKIN CRNA
Nurse Anesthetist, Certified Registered
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
MR. MARK A. PELTON RPH
Pharmacist
3801 SPRING ST
RACINE, WI 53405
Racine County (262) 687-5108
JENNIFER SCIDMORE PA-C
Physician Assistant
3801 SPRING ST
RACINE, WI 53405
Racine County (262) 687-4011
JOSHUA DELAROSA MPAS, PA-C
Physician Assistant
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
MIDWEST CRITICAL CARE SC
Internal Medicine (Critical Care Medicine)
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
JOSHUA RAYMOND BABCOCK PA-C
Physician Assistant
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011

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 Joseph Humphrey's NPI number?

The NPI number for Joseph Humphrey is 1477610434. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Joseph Humphrey located?

Joseph Humphrey practices at 3801 Spring St, Mount Pleasant, WI 53405. The listed phone number is (262) 687-4201.

What is Joseph Humphrey's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Joseph Humphrey enrolled in Medicare?

Yes. Joseph 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 Joseph Humphrey accept?

Health plans from CareSource (Common Ground Healthcare) list Joseph 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 Joseph Humphrey affiliated with any hospitals?

According to CMS data, Joseph Humphrey is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Humphrey was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.