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

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: August 02, 2026.

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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Nurse Practitioner (Acute Care)
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Nurse Practitioner (Family)
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Pediatrics
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Clinic/Center (Federally Qualified Health Center (FQHC))
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Family Medicine
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Nurse Practitioner (Family)
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Emergency Medicine
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Nurse Practitioner
2001 STATE ST
EAST SAINT LOUIS, IL 62205

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 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.

Where is Verna Porter located?

Verna Porter practices at 2001 State St, East Saint Louis, IL 62205. The listed phone number is (618) 271-9191.

What is Verna Porter's specialty?

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

Is Verna Porter enrolled in Medicare?

Yes. Verna Porter 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.

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.