DR. VERNA J. PORTER MD
NPI 1699774414
Obstetrics & Gynecology in East Saint Louis, IL

Q: What is Verna Porter's NPI number?

The NPI number for Verna Porter is 1699774414. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Q: What is Verna Porter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Verna Porter was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 14, 2005PECOS EnrolledAccepts Medicare Assignment

2001 STATE ST, EAST SAINT LOUIS, IL 62205(618) 271-9191(618) 271-9617 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Verna J. Porter Md NPPES

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

DR. VERNA J. PORTER MD (NPI 1699774414) is an individual obstetrics & gynecology provider in East Saint Louis, Illinois, licensed in Illinois (036-102524) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Centreville, and is a graduate of Southern Illinois University School Of Medicine (1996).

NPPES Registry Identity

NPI1699774414

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. VERNA J. PORTERCredential: MD

Location Address2001 STATE STEast Saint Louis, IL 62205-1803

Mailing Address2001 State StEast Saint Louis, IL 62205-1803 · (618) 271-9191 · Fax (618) 271-9617

Phone(618) 271-9191

Fax(618) 271-9617

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1996

Enumeration DateJuly 14, 2005

Last NPPES UpdateMay 24, 2021

NPPES CertifiedMay 24, 2021

✔ NPI 1699774414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036-102524✔ Licensed in KY · 36222

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2001 STATE ST, East Saint Louis, IL 62205

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Secondary Practice Location 1

Location 16000 Bond AveCentreville, IL 62207-2328 · Phone (618) 332-2740 · Fax (618) 337-6546

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

Dr. Verna J. Porter 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 ID4789627373

PECOS Enrollment IDI20060817000411

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 Reassignment

Medicare enrollment records show Verna Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obhg Illinois Sc

254 mi

Obstetrics & Gynecology

3249 OAK PARK AVE
Berwyn, IL 60402

Reassigned Medicare billing, Illinois enrollment
219 clinicians in this Medicare group

NPI 1700107216 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62205 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

83%248 patients4/55-star benchmark: 92%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

89%1,027 patients

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%1,107 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%224 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

66%1,724 patients3/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

56%1,233 patients3/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 97% · 732 patients

Patients tobacco: 14% · 102 patients

72%732 patients3/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

94%1,724 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

16%1,724 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

21%1,724 patients

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 13

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

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