Active NPI
Misty Dawn Humphries, M.D.
- Vascular Surgery Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A88686
- Practice address
- 2315 Stockton Blvd
Sacramento, CA 95817-2201 - Phone
- (916) 734-2724
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A88686 | CA | Primary |
Addresses
Primary practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
4860 Y Street Suite 3400
Ucdmc Vascular Surgery
Sacramento, CA 95817-2201
Phone (916) 734-2022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Texas a & M University System, HSC, College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-2680
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
4860 Y St
Sacramento, CA 95817-2307
4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525
4868 X St
Sacramento, CA 95817-2205
550 W Ranch View Dr
Suite 1200
Rocklin, CA 95765-5398
Phone (916) 295-5810
8110 Laguna Blvd
Elk Grove, CA 95758-8094
Phone (916) 683-3955
Hospital & facility affiliations
- University of California Davis Medical Center
- Adventist Health Sonora
- Marshall Medical Center
- St Elizabeth Community Hospital
- Sutter Medical Center, Sacramento
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.11 of 100
- Quality
- 86.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.35
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 11 |
| Leg revascularization (restoring blood flow) | 21 |
| Removal of tissue | 97 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A88686 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000
9390 Big Horn Blvd
Ste 120
Elk Grove, CA 95758
9390 Big Horn Blvd
Elk Grove, CA 95758
Phone (916) 683-3950
8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700
2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680
4860 Y St
Ste 3400
Sacramento, CA 95817
Phone (916) 734-2022
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2221 Stockton Blvd
Ste E
Sacramento, CA 95817
Phone (916) 734-2680
4860 Y St
Ste 2100
Sacramento, CA 95817
Phone (916) 734-3800
2315 Stockton Blvd
#5
Sacramento, CA 95817
Phone (916) 703-3050
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
4868 X St
Sacramento, CA 95817
Phone (916) 703-1503
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Multi-Specialty Clinic/Center
- Elk Grove, CA
- NPI 1083694616
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
-
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Bluff, CA
- NPI 1083732853
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1528040870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 Y STREET SUITE 3400",
"address_2": "UCDMC VASCULAR SURGERY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-734-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-734-2724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHRIES",
"first_name": "MISTY DAWN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A88686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.