RICHENDA DAWN HERREN MD
NPI 1164407995
Surgery in Mcalester, OK

Q: What is Richenda Herren's NPI number?

The NPI number for Richenda Herren is 1164407995. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Richenda Herren's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Richenda Herren was last updated on February 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment

79.39/100

CMS Quality Rating

2 E CLARK BASS BLVD, SUITE 301, MCALESTER, OK 74501(918) 421-6846(918) 421-6875 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Richenda Dawn Herren Md NPPES

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

RICHENDA DAWN HERREN MD (NPI 1164407995) is an individual surgery provider in Mcalester, Oklahoma, licensed in Oklahoma (31002) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of University Of Oklahoma College Of Medicine (1987).

NPPES Registry Identity

NPI1164407995

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameRICHENDA DAWN HERRENCredential: MD

Location Address2 E CLARK BASS BLVD, SUITE 301Mcalester, OK 74501-4282

Mailing Address2 E Clark Bass Blvd, Suite 301Mcalester, OK 74501-4282 · (918) 421-6846 · Fax (918) 421-6875

Phone(918) 421-6846

Fax(918) 421-6875

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1987

Enumeration DateDecember 14, 2005

Last NPPES UpdateFebruary 24, 2015

✔ NPI 1164407995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OK · 31002

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.

2 E CLARK BASS BLVD, Mcalester, OK 74501

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Other Identifiers 3

Medicaid100168240BKS

Medicare UPINF32764KS

Medicaid200568320AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.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

Richenda Dawn Herren 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 ID5092623926

PECOS Enrollment IDI20150130001517

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 13

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.

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.

58 services58 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

49 services46 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

43 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services32 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

31 services31 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.

28 services21 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

26 services26 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.

26 services24 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

20 services20 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

19 services19 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.

16 services16 patients

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.

12 services12 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370025

Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74501 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

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

Quality

77.76

Promoting Interoperability

Improvement Activities

Cost

54.37

Other Providers at the Same Location NPPES 14

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

MCALESTER REGIONAL HEALTH CENTER

Family Medicine

2 E CLARK BASS BLVD, SUITE 302
MCALESTER, OK 74501

Pittsburg County (918) 421-1800

MCALESTER REGIONAL HEALTH CENTER

Clinic/Center (Health Service)

2 E CLARK BASS BLVD, SUITE 300
MCALESTER, OK 74501

Pittsburg County (918) 421-6987

MCALESTER REGIONAL HEALTH CENTER MRHC CLINICS

Surgery

2 E CLARK BASS BLVD, SUITE 301
MCALESTER, OK 74501

Pittsburg County (918) 421-6846

MUSKOGEE VAMC

Clinic/Center (VA)

2 E CLARK BASS BLVD
MCALESTER, OK 74501

Pittsburg County (913) 578-4409

MCALESTER REGIONAL DIALYSIS CENTER, LLC

Clinic/Center

2 E CLARK BASS BLVD, SUITE 101
MCALESTER, OK 74501

Pittsburg County (918) 421-8373

MRS. MARY-AFTON BRITTANY MILLER LPN

Licensed Practical Nurse

2 E CLARK BASS BLVD
MCALESTER, OK 74501

Pittsburg County (918) 715-0604

CONNIE J GRANTHAM MSN, RN

Registered Nurse

2 E CLARK BASS BLVD
MCALESTER, OK 74501

Pittsburg County (918) 715-0521

BOBB A ARTERBERRY RN

Registered Nurse

2 E CLARK BASS BLVD
MCALESTER, OK 74501

Pittsburg County (918) 715-0532

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 Richenda Herren's NPI number?

The NPI number for Richenda Herren is 1164407995. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Richenda Herren located?

Richenda Herren practices at 2 E Clark Bass Blvd Suite 301, Mcalester, OK 74501. The listed phone number is (918) 421-6846.

What is Richenda Herren's specialty?

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

Is Richenda Herren enrolled in Medicare?

Yes. Richenda Herren 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 Richenda Herren accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Richenda Herren 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 Richenda Herren affiliated with any hospitals?

According to CMS data, Richenda Herren is affiliated with Saint Francis Hospital Muskogee.

When was this NPI record last updated?

The NPPES record for Richenda Herren was last updated on February 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.