Stephen E Humpal, DO
Individual provider Active NPI Family Medicine Physician · Seeley Lake, MT
NPI 1760740666 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1760740666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 80096 (MT)
- Practice address
- 3050 Mt Highway 83 N
Seeley Lake, MT 59868-8620 - Phone
- (406) 677-2277
- NPI assigned
- Apr 27, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kremmling Memorial Hospital District
Practice addresses (Care Compare)
1000 Granby Park Dr S
Granby, CO 80446-5304
Phone (970) 724-3442
214 S 4TH St
Kremmling, CO 80459-0399
Phone (970) 724-3442
400 Grand Ave
Kremmling, CO 80459-0399
Phone (970) 724-3524
P O Box
Kremmling, CO 80459-0399
Hospital & facility affiliations
- Middle Park Medical Center
- St Anthony Summit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.61 of 100
- Quality
- 76.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 35.19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160329000872 | CO | Practitioner - Family Practice | 0840597340 | Reassigns benefits to 1 organization |
| I20200122001011 | MT | Practitioner - Family Practice | 0840597340 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80096 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partnership Health Center Inc | Current |
Accepting new patients | |
| Partnership Health Center Inc | Family Medicine | Current | Accepting new patients |
| Kremmling Memorial Hospital District | Current |
Accepting new patients | |
| Kremmling Memorial Hospital District | Current |
Accepting new patients | |
| Partnership Health Center Inc | Current |
Accepting new patients |
Locations
1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771
401 Railroad St W
Missoula, MT 59802
Phone (406) 258-4183
323 W Alder St
Missoula, MT 59802
Phone (406) 258-4195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 80096 | MT | Yes |
Addresses
Primary practice location
3050 Mt Highway 83 N
Seeley Lake, MT 59868-8620
Mailing address
PO Box 399
214 S 4TH St
Kremmling, CO 80459-0399
Phone (970) 724-3442
Other providers in Seeley Lake, MT
- Karen Lynn Dove
- Florence Family Practice
- Kimberley T Grover
- Douglas Stanley Hadnot
- Halma Chiropractic, PLLC
- Traci Kathleen Jasnicki
- JPB Montana LLC
- Talia Marie Malone
- Jama Marie Mauldin
- Bruce K Morgan
All providers in Seeley Lake, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.