JOHN MICHAEL HUMENIUK M.D., LLC
NPI 1639164528
Dermatology - Procedural Dermatology in Greenville, SC

Active since September 16, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 42D0689572 · Microscopy
21 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605(864) 295-9085(864) 295-1075 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Michael Humeniuk M.d., Llc NPPES

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

JOHN MICHAEL HUMENIUK M.D., LLC (NPI 1639164528) is an individual procedural dermatology provider in Greenville, South Carolina, licensed in South Carolina (10819) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is affiliated with St Francis-downtown.

NPPES Registry Identity

NPI1639164528
Entity TypeIndividualMale
Primary Taxonomy207NS0135X
Provider Legal NameJOHN MICHAEL HUMENIUKCredential: M.D., LLC
Location Address21 MEMORIAL MEDICAL DRGreenville, SC 29605-4407
Mailing Address21 Memorial Medical DrGreenville, SC 29605-4407 · (864) 295-9085 · Fax (864) 295-1075
Fax(864) 295-1075
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateSeptember 16, 2005
Last NPPES UpdateDecember 20, 2013
NPI 1639164528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in SC · 10819
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
21 MEMORIAL MEDICAL DR, Greenville, SC 29605

Other Identifiers 4

Medicare ID-Type UnspecifiedB917000281
Medicare UPINB91700
Medicaid108190SC
Medicare PINB917000281SC

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

John Michael Humeniuk M.d., Llc 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 ID2062549504
PECOS Enrollment IDI20100415000058
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0689572

John Humeniuk, MD · Greenville, SC
Active · expires Aug 31, 2026
CLIA Number42D0689572
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn M. Humeniuk
Laboratory Phone(864) 295-9085
Laboratory LocationJohn Humeniuk, MD21 Memorial Medical Drive, Greenville, SC 29605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 27

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.

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.
5,576 services441 patients
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.
2,738 services1,502 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
2,181 services1,424 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.
1,333 services986 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.
595 services454 patients
Destruction of skin growth, 15 or more growths 17111
"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.
226 services175 patients

Hospital Affiliations CMS Care Compare

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

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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 Humeniuk's NPI number?

The NPI number for John Humeniuk is 1639164528. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is John Humeniuk located?

John Humeniuk practices at 21 Memorial Medical Dr, Greenville, SC 29605. The listed phone number is (864) 295-9085.

What is John Humeniuk's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is John Humeniuk enrolled in Medicare?

Yes. John Humeniuk 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.

Does John Humeniuk hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0689572) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does John Humeniuk accept?

Health plans from UnitedHealthcare list John Humeniuk 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 Humeniuk affiliated with any hospitals?

According to CMS data, John Humeniuk is affiliated with St Francis-Downtown.

When was this NPI record last updated?

The NPPES record for John Humeniuk was last updated on December 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.