JON O HUMPHREY M.D.
NPI 1699972893
Family Medicine in Carbondale, IL

Q: What is Jon Humphrey's NPI number?

The NPI number for Jon Humphrey is 1699972893. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Q: What is Jon Humphrey'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 Jon Humphrey was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 29, 2007PECOS EnrolledAccepts Medicare Assignment

305 W JACKSON ST, SUITE 200, CARBONDALE, IL 62901(618) 453-3777(618) 453-1102 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jon O Humphrey M.d. NPPES

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

JON O HUMPHREY M.D. (NPI 1699972893) is an individual family medicine provider in Carbondale, Illinois, licensed in Tennessee (67471) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and is a graduate of Southern Illinois University School Of Medicine (1997).

NPPES Registry Identity

NPI1699972893

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJON O HUMPHREYCredential: M.D.

Location Address305 W JACKSON ST, SUITE 200Carbondale, IL 62901-1474

Mailing Address701 N 1st St, Po Box 19639Springfield, IL 62794-9639 · (217) 545-7578 · Fax (217) 545-1884

Phone(618) 453-3777

Fax(618) 453-1102

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1997

Enumeration DateJune 29, 2007

Last NPPES UpdateJune 10, 2024

NPPES CertifiedJune 10, 2024

✔ NPI 1699972893 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 TN · 67471

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 ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 036-116062 (IL)

305 W JACKSON ST, Carbondale, IL 62901

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Other Identifiers 1

Medicaid036116062IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Jon O Humphrey 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 ID6002838448

PECOS Enrollment IDI20231013001065

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 3

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.

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.

194 services79 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440059

Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County

Emergency services Birthing friendly

Livingston Regional Hospital

Acute Care Hospitals · Livingston, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440187

Location315 Oak St Box 550Livingston, TN 38570 · Overton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 20

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

MR. BRADLEY C. BRUSH A.T.C., C.S.C.S.

Specialist/Technologist (Athletic Trainer)

305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901

Jackson County (618) 549-0721

STOKES INSTITUTE OF UROLOGY, LLC

Specialist

305 W JACKSON ST, SUITE 400
CARBONDALE, IL 62901

Jackson County (618) 351-9300

MR. MICHAEL LEROY MATTESON PA C

Physician Assistant (Surgical)

305 W JACKSON ST, SUITE 105
CARBONDALE, IL 62901

Jackson County (618) 536-2565

L. NEAL MCCAIN, M.D, LTD.

Surgery

305 W JACKSON ST, SUITE 302
CARBONDALE, IL 62901

Jackson County (618) 529-1770

SCOTT K SCHONEWOLF M.D.

Family Medicine

305 W JACKSON ST, SUITE 200
CARBONDALE, IL 62901

Jackson County (618) 453-3777

LAURA E CHANDLER MS/CCC-SLP

Speech-Language Pathologist

305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901

Jackson County (618) 529-0516

KUSHAN D. MOONESINGHE M.D.

Family Medicine

305 W JACKSON ST, STE 200
CARBONDALE, IL 62901

Jackson County (618) 536-6621

KYAW T NAING M.D., PH.D.

Family Medicine

305 W JACKSON ST, STE 200
CARBONDALE, IL 62901

Jackson County (618) 536-6621

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 Jon Humphrey's NPI number?

The NPI number for Jon Humphrey is 1699972893. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Jon Humphrey located?

Jon Humphrey practices at 305 W Jackson St Suite 200, Carbondale, IL 62901. The listed phone number is (618) 453-3777.

What is Jon Humphrey's specialty?

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

Is Jon Humphrey enrolled in Medicare?

Yes. Jon 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.

What insurance does Jon Humphrey accept?

Health plans from BlueCross BlueShield of Tennessee list Jon Humphrey 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 Jon Humphrey affiliated with any hospitals?

According to CMS data, Jon Humphrey is affiliated with Cookeville Regional Medical Center and Livingston Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jon Humphrey was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.