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DR. GARTH S HERBERT MD
NPI 1073583548
Surgery in Raleigh, NC

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
3404 WAKE FOREST ROAD, SUITE 303, RALEIGH, NC 27609(919) 684-1022(919) 862-5483 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Garth S Herbert Md NPPES

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

DR. GARTH S HERBERT MD (NPI 1073583548) is an individual surgery provider in Raleigh, North Carolina, licensed in Nebraska (23037) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Yale University School Of Medicine (2003).

NPPES Registry Identity

NPI1073583548
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GARTH S HERBERTCredential: MD
Location Address3404 WAKE FOREST ROAD, SUITE 303Raleigh, NC 27609-7341
Mailing Address3404 Wake Forest Road, Suite 303Raleigh, NC 27609-7341 · (919) 684-1022 · Fax (919) 862-5483
Phone(919) 684-1022
Fax(919) 862-5483
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2003
Enumeration DateJanuary 25, 2006
Last NPPES UpdateDecember 9, 2022
NPPES CertifiedDecember 9, 2022
✔ NPI 1073583548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NE · 23037
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3404 WAKE FOREST ROAD, Raleigh, NC 27609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Garth S Herbert Md 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 ID7214179126
PECOS Enrollment IDI20190918001155
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.

Areas of Expertise CMS Part B claims 4

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.
113 services72 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.
26 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Garth Herbert's NPI number?

The NPI number for Garth Herbert is 1073583548. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Garth Herbert located?

Garth Herbert practices at 3404 Wake Forest Road Suite 303, Raleigh, NC 27609. The listed phone number is (919) 684-1022.

What is Garth Herbert's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Garth Herbert enrolled in Medicare?

Yes. Garth Herbert 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.

What insurance does Garth Herbert accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Garth Herbert 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 Garth Herbert affiliated with any hospitals?

According to CMS data, Garth Herbert is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Garth Herbert was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.