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Edit this profileBased in Raleigh, NC, Garth S. Herbert, MD is listed in the NPI registry under surgical oncology. Garth graduated from Yale University School of Medicine in 2003. Garth is also listed as specializing in surgery. According to Medicare claims data, Garth cared for 155 Medicare patients across 205 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient', and new patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more. NPI 1073583548 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
3404 WAKE FOREST ROAD SUITE 303
Raleigh, NC 27609
205 services · 155 patients · 5 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
113 | More often than most peers in Surgical Oncology |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
29 | As often as other peers in Surgical Oncology |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
26 | As often as other peers in Surgical Oncology |
| New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | Office visit | 99205 |
21 | As often as other peers in Surgical Oncology |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
16 | Less often than most peers in Surgical Oncology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Herbert is a surgical oncology in Raleigh, NC. That is the designation recorded for this NPI in the federal registry.
NPI registry
Dr. Herbert is listed at 3404 Wake Forest Road Suite 303, Raleigh, NC 27609. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (919) 684-1022. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Herbert's National Provider Identifier is 1073583548. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Herbert attended Yale University School of Medicine, graduating in 2003. This comes from the CMS National Downloadable File.
CMS public data
Dr. Herbert has 23 years experience. Calculated from a graduation year of 2003, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Herbert the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Herbert. If this is you, claiming it is free.
Guide.md
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