JOHN HEREFORD, MD
Obstetrics & Gynecology Physician · KINGSPORT, TN
Individual Active NPI 1619931557
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 76 | 277 | $40,608 | $15,296 | $12,098 |
| 2023 | 85 | 220 | $27,384 | $12,124 | $9,374 |
| 2022 | 73 | 237 | $35,032 | $14,516 | $11,519 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 41 | $35 | $35 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 39 | $40 | $40 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 37 | $83 | $56 |
| 81002 | Urinalysis, manual test | 17 | $3 | $3 |
| 36415 | Insertion of needle into vein for collection of blood sample | 16 | $9 | $9 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 16 | $102 | $74 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ✓ | MD15919 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.