STACEY MICHELLE HUMPHREYS M.D
NPI 1861698128
Pediatrics - Pediatric Critical Care Medicine in Columbia, SC

Q: What is Stacey Humphreys's NPI number?

The NPI number for Stacey Humphreys is 1861698128. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Q: What is Stacey Humphreys's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Humphreys was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 25, 2007PECOS EnrolledAccepts Medicare Assignment

99.32/100

CMS Quality Rating

9 RICHLAND MEDICAL PARK DR, STE 530, COLUMBIA, SC 29203(803) 434-4603 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2019, Sep 6, 2018, May 8, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Stacey Michelle Humphreys M.d NPPES

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

STACEY MICHELLE HUMPHREYS M.D (NPI 1861698128) is an individual pediatric critical care medicine provider in Columbia, South Carolina, licensed in South Carolina (37377) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2006).

NPPES Registry Identity

NPI1861698128

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameSTACEY MICHELLE HUMPHREYSCredential: M.D

Location Address9 RICHLAND MEDICAL PARK DR, STE 530Columbia, SC 29203

Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330

Phone(803) 434-4603

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2006

Enumeration DateJune 25, 2007

Last NPPES UpdateMay 20, 20195 updates tracked since enumeration

✔ NPI 1861698128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in SC · 37377

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 37377 (SC), 23402 (WV)

9 RICHLAND MEDICAL PARK DR, Columbia, SC 29203

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Other Identifiers 1

Medicaid373777SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.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

Stacey Michelle Humphreys 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 ID143352393

PECOS Enrollment IDI20141031002180

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 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.

99.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

90.59

Promoting Interoperability

100

Improvement Activities

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.

PALMETTO HEALTH

Surgery (Pediatric Surgery)

9 RICHLAND MEDICAL PARK DR, SUITE 500
COLUMBIA, SC 29203

Richland County (803) 296-7304

MR. WILLIAM H GAW JR. NP

Nurse Practitioner (Pediatrics)

9 RICHLAND MEDICAL PARK DR, SUITE 500
COLUMBIA, SC 29203

Richland County (803) 434-4555

HAYLEY ELIZABETH CRUZ DO

Pediatrics

9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203

Richland County (803) 434-6155

HALA HASAN

Pediatrics

9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203

Richland County (803) 434-7606

DR. MATTHEW M WIENECKE MD

Pediatrics (Pediatric Cardiology)

9 RICHLAND MEDICAL PARK DR, SUITE 200A
COLUMBIA, SC 29203

Richland County (803) 434-7940

DR. AARON N MOORE M.D.

Surgery (Surgical Critical Care)

9 RICHLAND MEDICAL PARK DR, SUITE 450
COLUMBIA, SC 29203

Richland County (803) 434-8800

STEPHANIE LEWIS GIBSON M.D.

Pediatrics

9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203

Richland County (803) 434-6455

SHANNON BUI MD

Pediatrics

9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203

Richland County (803) 434-6155

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 Stacey Humphreys's NPI number?

The NPI number for Stacey Humphreys is 1861698128. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Stacey Humphreys located?

Stacey Humphreys practices at 9 Richland Medical Park Dr Ste 530, Columbia, SC 29203. The listed phone number is (803) 434-4603.

What is Stacey Humphreys's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Stacey Humphreys enrolled in Medicare?

Yes. Stacey Humphreys 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 Stacey Humphreys accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Stacey Humphreys 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.

When was this NPI record last updated?

The NPPES record for Stacey Humphreys was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.