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RICHARD RAY HERBER M.D.
NPI 1023083599
Family Medicine in Mount Airy, NC

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
1016 S SOUTH ST, MOUNT AIRY, NC 27030(336) 783-8900(336) 783-3417 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard Ray Herber M.d. NPPES

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

RICHARD RAY HERBER M.D. (NPI 1023083599) is an individual family medicine provider in Mount Airy, North Carolina, licensed in North Carolina (39614) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and is a graduate of Baylor College Of Medicine (1988).

NPPES Registry Identity

NPI1023083599
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD RAY HERBERCredential: M.D.
Location Address1016 S SOUTH STMount Airy, NC 27030-5330
Mailing AddressPo Box 1267Mount Airy, NC 27030-1267 · (336) 719-7112 · Fax (336) 786-3752
Phone(336) 783-8900
Fax(336) 783-3417
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1988
Enumeration DateFebruary 20, 2006
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1023083599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 39614✔ Licensed in SC · 35325
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1016 S SOUTH ST, Mount Airy, NC 27030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Ray Herber M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911947700
PECOS Enrollment IDI20050512000302
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard Herber reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Hospital Of Surry County
Same address
Family Medicine
1016 S SOUTH ST
Mount Airy, NC 27030
  • Reassigned Medicare billing, North Carolina enrollment
  • 42 clinicians in this Medicare group
NPI 1215477591 (336) 783-8900
Northern Hospital District Of Surry County
0.2 mi
Urgent Care
119 WELCH RD STE A
Mount Airy, NC 27030
  • Reassigned Medicare billing, North Carolina enrollment
  • 16 clinicians in this Medicare group
NPI 1255950325 (336) 719-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
203 services105 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services92 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
92 services92 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
62 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27030 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims22 services$6.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL MERZ MD
Family Medicine
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 783-8900
DR. TOM ORLI MD
Internal Medicine (Gastroenterology)
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-6277
DR. GEORGE LEIGHTON LEE III M.D., FACS
Urology
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-5144
NORTHERN HOSPITAL OF SURRY COUNTY
Family Medicine
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 783-8900
NORTHERN HOSPITAL OF SURRY COUNTY
Urology
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-5144
NORTHERN HOSPITAL OF SURRY COUNTY
Internal Medicine (Gastroenterology)
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-6277
NOVANT HEALTH NORTHERN REGIONAL MEDICAL CENTER, LLC
Surgery
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 789-9176
NOVANT HEALTH NORTHERN REGIONAL MEDICAL CENTER, LLC
Internal Medicine (Gastroenterology)
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-6277

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 Richard Herber's NPI number?

The NPI number for Richard Herber is 1023083599. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Richard Herber located?

Richard Herber practices at 1016 S South St, Mount Airy, NC 27030. The listed phone number is (336) 783-8900.

What is Richard Herber's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Herber enrolled in Medicare?

Yes. Richard Herber is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Richard Herber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Herber reassigns Medicare benefits to 2 organizations: Northern Hospital Of Surry County (Mount Airy, NC) and Northern Hospital District Of Surry County (Mount Airy, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Herber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Herber accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Cigna Healthcare list Richard Herber 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.

Is Richard Herber affiliated with any hospitals?

According to CMS data, Richard Herber is affiliated with Northern Regional Hospital.

When was this NPI record last updated?

The NPPES record for Richard Herber was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.