DR. DIEGO SEBASTIAN HUMPHREY (MD) – Cardiovascular Disease Physician, NPI 1073525515

DR. DIEGO SEBASTIAN HUMPHREY (MD) is a healthcare provider. based in Muskogee, Oklahoma. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 19979 (OK). The NPI Number for DR. DIEGO SEBASTIAN HUMPHREY (MD) is 1073525515

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIEGO SEBASTIAN HUMPHREY (MD)
NPI
1073525515
Phone
(918) 682-5501
Address
300 Rockefeller Dr
Enumeration Date
13 August 2006
Last Update Date
8 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182564800
Graduation Year
1984 (42 years ago)
PAC ID
6002980893
Group Practice PAC ID
5799698742
Professional Enrollment ID
I20170927002568
Address ID
OK743017953VI27371RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

305 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OK

Provider Addresses for DR. DIEGO SEBASTIAN HUMPHREY (MD)

  • 300 Rockefeller Dr

    Muskogee, OK 744015075

    Phone: (918) 682-5501

    Fax: (918) 684-2552

    Type: Location

  • Tahlequah Post Office, 3rd Street, Plaza, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744651008

    Phone: (918) 207-0882

    Fax: (918) 207-0335

    Type: Mailing

  • East Downing Street, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 74464

    Phone: (918) 207-0882

    Fax: (918) 207-0335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080728000398ICardiovascular Disease (Cardiology)OKTBD
I20170927002568ICardiovascular Disease (Cardiology)TXTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only234166$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function133132$0
View full utilization report →

Insurance plans in this area (ZIP 74401)

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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: 5799698742View full group profile

Reviews

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Frequently asked questions

How is DR. DIEGO SEBASTIAN HUMPHREY (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. DIEGO SEBASTIAN HUMPHREY (MD) with NPI 1073525515.
Can I rely on DR. DIEGO SEBASTIAN HUMPHREY (MD) being an active provider?
As of the registry snapshot, DR. DIEGO SEBASTIAN HUMPHREY (MD) is marked active.
What healthcare role does DR. DIEGO SEBASTIAN HUMPHREY (MD) hold?
Scheduling teams often label DR. DIEGO SEBASTIAN HUMPHREY (MD) under Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DIEGO SEBASTIAN HUMPHREY (MD) based?
DR. DIEGO SEBASTIAN HUMPHREY (MD) is tied to Muskogee, Oklahoma in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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