DR. MATTHEW RANDAL HUMPAL M.D.
NPI 1609135375
Family Medicine in South Sioux City, NE

Q: What is Matthew Humpal's NPI number?

The NPI number for Matthew Humpal is 1609135375. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Q: What is Matthew Humpal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Humpal was last updated on February 21, 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 May 15, 2012PECOS EnrolledAccepts Medicare Assignment

501 1ST AVE, SOUTH SIOUX CITY, NE 68776(402) 494-3064(712) 294-7299 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2020, Mar 17, 2018, Feb 12, 2018 (3 updates tracked since 2018).

On this page

About Dr. Matthew Randal Humpal M.d. NPPES

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

DR. MATTHEW RANDAL HUMPAL M.D. (NPI 1609135375) is an individual family medicine provider in South Sioux City, Nebraska, licensed in Iowa (MD-42604) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and maintains a secondary practice location in Red Oak.

NPPES Registry Identity

NPI1609135375

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MATTHEW RANDAL HUMPALCredential: M.D.

Location Address501 1ST AVESouth Sioux City, NE 68776-1703

Mailing Address621 S Illinois Ave, Suite 103Mason City, IA 50401-5489 · (641) 428-3041 · Fax (712) 264-3509

Phone(402) 494-3064

Fax(712) 294-7299

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2012

Enumeration DateMay 15, 2012

Last NPPES UpdateFebruary 21, 20203 updates tracked since enumeration

✔ NPI 1609135375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · MD-42604

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

501 1ST AVE, South Sioux City, NE 68776

Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 Senate Ave, Ste. 105Red Oak, IA 51566-1271 · Phone (712) 623-7250 · Fax (712) 623-7257

Other Identifiers 1

Medicaid47068731712NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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. Matthew Randal Humpal 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 ID6103056171

PECOS Enrollment IDI20150709000476, I20250721001138

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 6

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

558 services202 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

243 services114 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

137 services133 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

100 services98 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

22 services22 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.

13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Mercyone Siouxland Medical Center

Acute Care Hospitals · Sioux City, IA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160153

Location801 5th StSioux City, IA 51101 · Woodbury County

Emergency services

Twelve Clans Unity Hospital

Acute Care Hospitals · Winnebago, NE

OwnershipTribal

CMS Certification Number280059

Location225 S Bluff StreetWinnebago, NE 68071 · Thurston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68776 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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 2

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

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers12 claims34 services$41.84 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers11 claims58 services$3.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MERCY MEDICAL SERVICES

Family Medicine