MISTY DAWN HUMPHRIES (M.D.) – Vascular Surgery Physician, NPI 1528040870

MISTY DAWN HUMPHRIES (M.D.) is a healthcare provider. based in Sacramento, California. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. A88686 (CA). The NPI Number for MISTY DAWN HUMPHRIES (M.D.) is 1528040870

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MISTY DAWN HUMPHRIES (M.D.)
NPI
1528040870
Phone
(916) 734-2724
Address
2315 STOCKTON BLVD
Enumeration Date
14 November 2005
Last Update Date
24 January 2023

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
5799965745
Group Practice PAC ID
3375456619
Professional Enrollment ID
I20110208000354
Address ID
CA958172205SA4868XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

674 VASCULAR SURGERY in CA

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Provider Addresses for MISTY DAWN HUMPHRIES (M.D.)

  • University of California, Davis Medical Center, 2315, Stockton Boulevard, Sacramento, Sacramento County, California, 95817, United States

    SACRAMENTO, CA 958172201

    Phone: (916) 734-2724

    Type: Location

  • 4860 Y STREET SUITE 3400

    UCDMC VASCULAR SURGERY

    SACRAMENTO, CA 958172201

    Phone: (916) 734-2022

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 125 Open Payments records for all available years, with a total value of $55,774.

Total Amount is formed as General ($55,774) + Research ($0) + Ownership ($0) = $55,774.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ShockWave Medical, Inc ($22,365).

Total Amount

$55,774

General + Research + Ownership

Payments

125

Total payment records

General Amount

$55,774

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110208000354IVascular SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93970Ultrasound study of arm or leg veins with compression and maneuvers214206$0
93922Ultrasound study of arm and leg arteries200186$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers142138$0
93880Ultrasound of both sides of head and neck blood flow9794$0
97597Removal of tissue from wound, 20.0 sq cm or less8442$0
View full utilization report →

Insurance plans in this area (ZIP 95817)

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Provider's Procedures

MISTY DAWN HUMPHRIES (M.D.) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYCA93922Ultrasound study of arteries of both arms and legs148132

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375456619View full group profile
NameSpecialtyState
Nurse PractitionerNY
-PA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Physician AssistantIL
Internal Medicine, Hospice/Palliative CareCA
Family PracticeCA
-CA
-CA
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm MISTY DAWN HUMPHRIES (M.D.)'s NPI?
Yes. MISTY DAWN HUMPHRIES (M.D.) is listed with NPI 1528040870 in the public NPI dataset.
Does CMS list MISTY DAWN HUMPHRIES (M.D.) as active?
Yes — MISTY DAWN HUMPHRIES (M.D.) is active in the NPI listing used on this page.
What is MISTY DAWN HUMPHRIES (M.D.)'s specialty?
The listing groups MISTY DAWN HUMPHRIES (M.D.) with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MISTY DAWN HUMPHRIES (M.D.)?
MISTY DAWN HUMPHRIES (M.D.)'s geographic hint is Sacramento, California in our summary view.
Is the information about MISTY DAWN HUMPHRIES (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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