DR. MARK EDWARD HUMPHREY MD
NPI 1801976402
Family Medicine in Winnsboro, SC
About Dr. Mark Edward Humphrey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK EDWARD HUMPHREY MD (NPI 1801976402) is an individual family medicine provider in Winnsboro, South Carolina, licensed in South Carolina (36168) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Mark Edward Humphrey 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Richland Hospital
Acute Care Hospitals · Columbia, SCPrisma Health Baptist
Acute Care Hospitals · Columbia, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Humphrey's NPI number?
The NPI number for Mark Humphrey is 1801976402. It was assigned to this individual provider in the NPPES registry on October 17, 2006.
Where is Mark Humphrey located?
Mark Humphrey practices at 56 Us Highway 321 Byp N, Winnsboro, SC 29180. The listed phone number is (803) 635-6343.
What is Mark Humphrey's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Humphrey enrolled in Medicare?
Yes. Mark 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 Mark Humphrey accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Mark 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 Mark Humphrey affiliated with any hospitals?
According to CMS data, Mark Humphrey is affiliated with Prisma Health Richland Hospital and Prisma Health Baptist.
When was this NPI record last updated?
The NPPES record for Mark Humphrey was last updated on July 15, 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.
# Dr. Mark Edward Humphrey, MD · NPI 1801976402
Family Medicine physician in Winnsboro, South Carolina. Individual provider, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1801976402 (Entity type: Individual)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 36168 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 56 US HIGHWAY 321 BYP N, Winnsboro, SC 29180-7100
- **Phone:** (803) 635-6343 · **Fax:** (803) 635-6343
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** July 15, 2024
- **Other identifiers:** Medicaid 361682 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1801976402) · Data from the CMS NPPES public registry.