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LYNNE A. HUMPHREY MD.
NPI 1487614988
Family Medicine in Fayetteville, NY

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
4100 MEDICAL CENTER DR, SUITE 104, FAYETTEVILLE, NY 13066(315) 663-0059(315) 663-0123 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lynne A. Humphrey Md. NPPES

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

LYNNE A. HUMPHREY MD. (NPI 1487614988) is an individual family medicine provider in Fayetteville, New York, licensed in New York (199458.) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1487614988
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLYNNE A. HUMPHREYCredential: MD.
Location Address4100 MEDICAL CENTER DR, SUITE 104Fayetteville, NY 13066-6635
Mailing Address5112 West Taft Road, Suite LLiverpool, NY 13088 · (315) 452-2500 · Fax (314) 452-2510
Phone(315) 663-0059
Fax(315) 663-0123
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 27, 2006
Last NPPES UpdateJune 5, 2023
NPPES CertifiedMay 25, 2023
✔ NPI 1487614988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 199458.✔ Licensed in NY · 199458
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 199458 (NY)
4100 MEDICAL CENTER DR, Fayetteville, NY 13066
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Other Identifiers 1

Medicaid01790110NY

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

Lynne A. 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 ID5991601932
PECOS Enrollment IDI20031210000318
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

4

Medicare enrollment records show Lynne Humphrey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Josephs Hospital Health Center
6.8 mi
General Acute Care Hospital
301 PROSPECT AVE, ADMINISTRATION
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 369 clinicians in this Medicare group
NPI 1508815333 (315) 448-5880
St Josephs Medical PC
9.1 mi
Family Medicine
5100 W TAFT RD
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 625 clinicians in this Medicare group
NPI 1942501747 (315) 452-2828
Mobile Physician Services PLLC
146 mi
Family Medicine
40 LA RIVIERE DR STE 201
Buffalo, NY 14202
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
NPI 1194132415 (337) 991-9276
Physician Mobile Medical Care PC
146 mi
Internal Medicine
40 LA RIVIERE DR STE 500
Buffalo, NY 14202
  • Reassigned Medicare billing, New York enrollment
  • 127 clinicians in this Medicare group
NPI 1518765502 (337) 408-0797

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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
503 services209 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
168 services146 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
125 services90 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
42 services41 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
42 services40 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
39 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims29 services$4.78 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$2.63 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims8,112 services$0.95 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers15 claims15 services$37.08 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers17 claims17 services$33.39 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims2,775 services$0.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lynne Humphrey's NPI number?

The NPI number for Lynne Humphrey is 1487614988. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Lynne Humphrey located?

Lynne Humphrey practices at 4100 Medical Center Dr Suite 104, Fayetteville, NY 13066. The listed phone number is (315) 663-0059.

What is Lynne Humphrey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lynne Humphrey enrolled in Medicare?

Yes. Lynne 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.

Which organizations bill Medicare for Lynne Humphrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynne Humphrey reassigns Medicare benefits to 4 organizations: St Josephs Hospital Health Center (Syracuse, NY), St Josephs Medical PC (Liverpool, NY), Mobile Physician Services PLLC (Buffalo, NY) and Physician Mobile Medical Care PC (Buffalo, NY). 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 Lynne Humphrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lynne Humphrey was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.