DR. GARY ROBERT HERRON II D.D.S.
NPI 1003815614
Dentist - General Practice in Albuquerque, NM

Active since July 15, 2005Opted out of Medicare · through Oct 15, 2027
4821 ALEXANDER BLVD NE, ALBUQUERQUE, NM 87107(505) 345-2100(505) 345-4600 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gary Robert Herron Ii D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY ROBERT HERRON II D.D.S. (NPI 1003815614) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (DD2568) and active in the NPI registry since July 2005. He has opted out of Medicare through October 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003815614
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARY ROBERT HERRON IICredential: D.D.S.
Location Address4821 ALEXANDER BLVD NEAlbuquerque, NM 87107-6820
Mailing Address4821 Alexander Blvd NeAlbuquerque, NM 87107-6820 · (505) 345-2100 · Fax (505) 345-4600
Fax(505) 345-4600
Sole ProprietorYes
Enumeration DateJuly 15, 2005
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
NPI 1003815614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in NM · DD2568 Licensed in TX · 16841
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4821 ALEXANDER BLVD NE, Albuquerque, NM 87107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Gary Robert Herron Ii D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2015 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2015
Opt-Out In Effect ThroughOctober 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4821 ALEXANDER BLVD NE
ALBUQUERQUE, NM 87107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Herron's NPI number?

The NPI number for Gary Herron is 1003815614. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Gary Herron located?

Gary Herron practices at 4821 Alexander Blvd NE, Albuquerque, NM 87107. The listed phone number is (505) 345-2100.

What is Gary Herron's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gary Herron enrolled in Medicare?

No. Gary Herron has opted out of Medicare through October 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gary Herron accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Gary Herron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Herron was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.