Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN C HERNDON NP
NPI 1114432812
Nurse Practitioner - Gerontology in Charlottesville, VA

Active since December 05, 2017PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1240 LEE ST, CHARLOTTESVILLE, VA 22908(434) 243-5233(434) 244-7526 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Nov 15, 2024, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Susan C Herndon Np NPPES

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

SUSAN C HERNDON NP (NPI 1114432812) is an individual gerontology provider in Charlottesville, Virginia, licensed in Virginia (0024175057) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114432812
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSUSAN C HERNDONCredential: NP
Location Address1240 LEE STCharlottesville, VA 22908-0817
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Fax(434) 244-7526
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2017
Enumeration DateDecember 5, 2017
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1114432812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in VA · 0024175057
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 0024175057 (VA)
1240 LEE ST, Charlottesville, VA 22908

Other Names 1

Former Name (1)Susan B Clime

Secondary Practice Locations 2

Location 1659 Hospital RdTappahannock, VA 22560-7000 · Phone (804) 443-6137 · Fax (804) 443-6128
Location 217452 Richmond RoadCallao, VA 22435 · Phone (804) 529-6141 · Fax (804) 529-6916

Accepted 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

Susan C Herndon Np 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 ID7416217112
PECOS Enrollment IDI20180126001785
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

3

Medicare enrollment records show Susan Herndon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
Gastroenterology
120 KINGS WAY STE 3500
Williamsburg, VA 23185
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group
Hematology & Oncology
110 WIMBLEDON SQ STE E1
Chesapeake, VA 23320
  • Reassigned Medicare billing, Virginia enrollment
  • 46 clinicians in this Medicare group

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 3

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.
95 services42 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.
58 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

Internal Medicine (Gastroenterology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Family)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology & Oncology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Obstetrics & Gynecology (Gynecologic Oncology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908

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 Susan Herndon's NPI number?

The NPI number for Susan Herndon is 1114432812. It was assigned to this individual provider in the NPPES registry on December 5, 2017. The provider is also known as Susan B Clime.

Where is Susan Herndon located?

Susan Herndon practices at 1240 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 243-5233.

What is Susan Herndon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Susan Herndon enrolled in Medicare?

Yes. Susan Herndon 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 Susan Herndon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Herndon reassigns Medicare benefits to 3 organizations: University Of Virginia Physicians Group (Charlottesville, VA), Riverside Physician Services Inc (Williamsburg, VA) and Peninsula Cancer Institute LLC (Chesapeake, VA). 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 Susan Herndon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Herndon accept?

Health plans from Oscar Health list Susan Herndon 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 Susan Herndon affiliated with any hospitals?

According to CMS data, Susan Herndon is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Herndon was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.