ZACHARY HUMPHRESS
NPI 1942809330
Physician Assistant in Jacksonville, IL

Active since October 18, 2020PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
15 FOUNDERS LN, JACKSONVILLE, IL 62650(217) 243-0300 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2022, Oct 18, 2020 (2 updates tracked since 2020).

About Zachary Humphress NPPES

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

ZACHARY HUMPHRESS (NPI 1942809330) is an individual physician assistant in Jacksonville, Illinois and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1942809330
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameZACHARY HUMPHRESS
Location Address15 FOUNDERS LNJacksonville, IL 62650-3919
Mailing Address15 Founders LnJacksonville, IL 62650-3919
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 18, 2020
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
NPI 1942809330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15 FOUNDERS LN, Jacksonville, IL 62650

Secondary Practice Location 1

Location 1620 W Lexington StBaltimore, MD 21201-1508 · Phone (410) 777-1881

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

Zachary Humphress 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 ID5890181879
PECOS Enrollment IDI20220330001870
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

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.

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

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.

Social Worker (Clinical)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Nurse Practitioner (Family)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Surgery
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Nurse Practitioner (Family)
15 FOUNDERS LN, SUITE 100
JACKSONVILLE, IL 62650
Pediatrics
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Nurse Practitioner (Family)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Family Medicine
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Family Medicine
15 FOUNDERS LN
JACKSONVILLE, IL 62650

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 Zachary Humphress's NPI number?

The NPI number for Zachary Humphress is 1942809330. It was assigned to this individual provider in the NPPES registry on October 18, 2020.

Where is Zachary Humphress located?

Zachary Humphress practices at 15 Founders Ln, Jacksonville, IL 62650. The listed phone number is (217) 243-0300.

What is Zachary Humphress's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Zachary Humphress enrolled in Medicare?

Yes. Zachary Humphress 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.

Is Zachary Humphress affiliated with any hospitals?

According to CMS data, Zachary Humphress is affiliated with Memorial Medical Center and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Zachary Humphress was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.