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DR. CARL SCOTT HUMPHREY MD
NPI 1811978778
Orthopaedic Surgery in Eagle, ID

Active since November 08, 2005PECOS Enrolled
97.58/100
CMS Quality Rating
3381 W BAVARIA STREET, EAGLE, ID 83616(208) 639-4800(208) 639-4801 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Carl Scott Humphrey Md NPPES

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

DR. CARL SCOTT HUMPHREY MD (NPI 1811978778) is an individual orthopaedic surgery provider in Eagle, Idaho, licensed in Idaho (M9563) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Utah School Of Medicine (2000).

NPPES Registry Identity

NPI1811978778
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. CARL SCOTT HUMPHREYCredential: MD
Location Address3381 W BAVARIA STREETEagle, ID 83616-5341
Mailing Address3381 W Bavaria StreetEagle, ID 83616-5341 · (208) 639-4800 · Fax (208) 639-4801
Phone(208) 639-4800
Fax(208) 639-4801
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2000
Enumeration DateNovember 8, 2005
Last NPPES UpdateFebruary 6, 2012
✔ NPI 1811978778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in ID · M9563
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3381 W BAVARIA STREET, Eagle, ID 83616
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Other Names 1

Professional Name (2)Dr. C Scott Humphrey Md

Other Identifiers 2

Medicare UPINI36275
Medicare ID-Type Unspecified00A905630

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carl Scott Humphrey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688603335
PECOS Enrollment IDI20061103000360
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 Carl Humphrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boise Shoulder Clinic, PA
Same address
Orthopaedic Surgery
3381 W BAVARIA STREET
Eagle, ID 83616
  • Reassigned Medicare billing, Idaho enrollment
  • 4 clinicians in this Medicare group
NPI 1760581409 (208) 639-4800

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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services32 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
25 services25 patients
Harvest of graft from small bone 20900
Harvesting of a graft from a small bone is a procedure where a small piece of bone is taken from one area of your body to be used in another area. This is often done to help repair or rebuild a damaged or diseased bone, improving its strength and function.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

BOISE SHOULDER CLINIC, PA
Orthopaedic Surgery
3381 W BAVARIA STREET
EAGLE, ID 83616
Ada County (208) 639-4800

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 Carl Humphrey's NPI number?

The NPI number for Carl Humphrey is 1811978778. It was assigned to this individual provider in the NPPES registry on November 8, 2005. The provider is also known as Dr. C Scott Humphrey MD.

Where is Carl Humphrey located?

Carl Humphrey practices at 3381 W Bavaria Street, Eagle, ID 83616. The listed phone number is (208) 639-4800.

What is Carl Humphrey's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Carl Humphrey enrolled in Medicare?

Yes. Carl Humphrey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carl Humphrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Humphrey reassigns Medicare benefits to Boise Shoulder Clinic, PA (Eagle, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Humphrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Humphrey accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Carl 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 Carl Humphrey affiliated with any hospitals?

According to CMS data, Carl Humphrey is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Carl Humphrey was last updated on February 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.