KRISTIN A. HERBERT MD NPI 1023294352

Emergency Medicine in Gretna, LA

NPI 1023294352 Individual Female Years of Experience 17 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About KRISTIN HERBERT

Kristin Herbert is a provider established in Gretna, Louisiana and her medical specialization is emergency medicine with more than 17 years of experience. She graduated from University Of Tennessee, Hsc, College Of Medicine in 2004. The NPI number of Kristin Herbert is 1023294352 and was assigned on January 2008. The practitioner's primary taxonomy code is 207P00000X with license number MD.201035 (LA). The provider is registered as an individual and her NPI record was last updated 13 years ago.

Kristin Herbert is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kristin Herbert is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Tennova Health Care-cleveland.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: implementation of an asp, implementation of formal quality improvement methods, practice changes, or other practice improvement processes, measurement and improvement at the practice and panel level and participation in an ahrq-listed patient safety organization.. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1023294352

Provider Name KRISTIN A. HERBERT MD
Provider Location Address2500 BELLE CHASSE HIGHWAY GRETNA, LA 70056
Provider Mailing Address1514 JEFFERSON HWY NEW ORLEANS, LA 70121
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-16-2008
Last Update Date10-29-2008


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD.201035
License StateLA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

KRISTIN A. HERBERT MD
2500 BELLE CHASSE HIGHWAY
GRETNA, LA
ZIP 70056
Phone: (504) 392-3131

Get Directions


Mailing Address

KRISTIN A. HERBERT MD
1514 JEFFERSON HWY
NEW ORLEANS, LA
ZIP 70121
Phone: (504) 842-4000



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5698847028
PECOS Enrollment IDI20120209000664
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kristin Herbert is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
TENNOVA HEALTH CARE-CLEVELAND2305 CHAMBLISS AVE NW
CLEVELAND, TN 37311
(423) 339-4132Acute Care Hospitals440185

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program201035LANo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4N123MEDICARE PIN (08)LA
4N1237061MEDICARE PIN (08)LA
1073440MEDICAID (05)LA
01281070MEDICAID (05)MS

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184608010DR. TROY ULRICH DREWITZ M.D.
Individual
Obstetrics & Gynecology2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 391-8896
1770536229 JEAN DESSE M.D
Individual
Hospitalist2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131
1881649820 NIKOLAOS GEORGE PSOMAS MD
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131
1255374781 JOHN M. LANGLEY M.D.
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131
1346283983 JOHN 'JAY' FRANKLIN BROWN JR. MD
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131
1912941048 KAREN R. COCKERHAM M.D.
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131
1457385098DR. CHARLES RAY STEPHENS M.D.
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131
1043224710 JEFFREY ANDREW BORCHARDT MD
Individual
Anesthesiology (Pain Medicine)2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 391-5157
1619024593 DEE MALKERNEKER MD
Individual
Radiology (Vascular & Interventional Radiology)2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 391-5177
1235262908DR. PHILLIP L REED M.D.
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131
1063612760MR. TRAVIS WILLIAM HILL MD
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131
1083804868 NICHOLAS ELLIOTT FORTH MD
Individual
Anesthesiology2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 391-5157
1407046949 ALBERTO M. LOPEZ M.D.
Individual
Hospitalist2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131
1083805113 KUROSH A. SAFAVI MD
Individual
Radiology (Diagnostic Radiology)2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 391-5177
1164613949 JOHN P D'HEMECOURT JR. MD
Individual
Anesthesiology2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 391-5157
1093906745DR. ELIZABETH CATHERINE SKEINS MD
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 391-5454
1366630931 JEFFREY SUEHAN KUO M.D.
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131
1104014620 BRUCE SEYMOUR TORRANCE III MD
Individual
Surgery (Vascular Surgery)2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 391-5275
1447449681DR. ARIANE STEVENS CARRIER MD
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 391-5454
1245413707DR. TARA RASHIDAH ODEN M.D.
Individual
Emergency Medicine2500 BELLE CHASSE HIGHWAY
GRETNA, LA 70056
(504) 392-3131

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.