DR. CLINT G HUMPHERYS (M.D.) – Pediatric Anesthesiology Physician, NPI 1215161807
Pediatric Anesthesiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,228 ANESTHESIOLOGY in MO
Provider Addresses for DR. CLINT G HUMPHERYS (M.D.)
2401 Gillham Rd
Kansas City, MO 641084619
Phone: (816) 234-3000
Fax: (816) 302-9939
Type: Location
North Central Avenue, Phoenix, Maricopa County, Arizona, United States
PHOENIX, AZ 850044633
Phone: (602) 262-8900
Fax: (602) 262-8890
Type: Mailing
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
ONE HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 882-2568
Fax: (855) 903-0985
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $222.
Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABIOMED ($208).
Total Amount
$222
General + Research + Ownership
Payments
5
Total payment records
General Amount
$222
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $208 |
| Boston Scientific Corporation | $13 |
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: 2026-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090923000495 | I | Anesthesiology | AZ | TBD |
| I20250814004450 | I | Anesthesiology | MO | TBD |
| I20260311001881 | I | Anesthesiology | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 36 | 36 | $0 |
| 93312 | Ultrasound of heart with probe in esophagus, with report | 19 | 19 | $0 |
| 93320 | Ultrasound of heart blood flow, valves and chambers | 18 | 18 | $0 |
| 93325 | Ultrasound of heart with color-depicted blood flow, rate and valve function | 17 | 17 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 15 | 13 | $0 |
Insurance plans in this area (ZIP 64108)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | AZ | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | AZ | |
| - | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| Anesthesiology, Pain Management | AZ | |
| A N E S T H E S I O L O G Y | AZ | |
| A N E S T H E S I O L O G Y | AZ | |
| Anesthesiology, Pain Management | AZ | |
| - | AZ |
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