JEFFERY KOLK HERBERT P.A.
NPI 1174604359
Physician Assistant - Surgical in Medford, OR

Q: What is Jeffery Herbert's NPI number?

The NPI number for Jeffery Herbert is 1174604359. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Jeffery Herbert's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Herbert was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment

520 MEDICAL CENTER DR, SUITE 300, MEDFORD, OR 97504(541) 282-6685(541) 282-6686 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeffery Kolk Herbert P.a. NPPES

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

JEFFERY KOLK HERBERT P.A. (NPI 1174604359) is an individual surgical provider in Medford, Oregon, licensed in Oregon (PA00572) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Baylor College Of Medicine (1997).

NPPES Registry Identity

NPI1174604359

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJEFFERY KOLK HERBERTCredential: P.A.

Location Address520 MEDICAL CENTER DR, SUITE 300Medford, OR 97504-4334

Mailing Address520 Medical Center Dr, Suite 300Medford, OR 97504-4334 · (541) 282-6685 · Fax (541) 282-6686

Phone(541) 282-6685

Fax(541) 282-6686

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1997

Enumeration DateOctober 17, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1174604359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OR · PA00572

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA00572 (OR)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA00572 (OR)

520 MEDICAL CENTER DR, Medford, OR 97504

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Other Identifiers 2

Medicaid064456OR

Other4898008OR · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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

Jeffery Kolk Herbert P.a. 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 ID4789587049

PECOS Enrollment IDI20040202000773

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 2

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 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.

22 services21 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380002

Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County

Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380018

Location2825 E Barnett RoadMedford, OR 97504 · Jackson County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

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

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550

DME-Other DME · category DE000N

2 suppliers11 claims120 services$22.23 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

2 suppliers11 claims85 services$7.21 avg. paid by Medicare

Negative pressure wound therapy electrical pump, stationary or portable E2402

DME-Other DME · category DE000N

2 suppliers11 claims11 services$871.38 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.

DONALD L BOWSER NP

Internal Medicine (Cardiovascular Disease)

520 MEDICAL CENTER DR, SUITE 100
MEDFORD, OR 97504

Jackson County (541) 789-5704

SOUTHERN OREGON CARDIOLOGY LLC

Internal Medicine (Cardiovascular Disease)

520 MEDICAL CENTER DR, STE 200
MEDFORD, OR 97504

Jackson County (541) 282-6600

DANIEL NEVILLE

Physician Assistant (Surgical)

520 MEDICAL CENTER DR, SUITE 201
MEDFORD, OR 97504

Jackson County (541) 789-5710

APP CARDIOVASCULAR SURGEONS

Thoracic Surgery (Cardiothoracic Vascular Surgery)

520 MEDICAL CENTER DR, SUITE 201
MEDFORD, OR 97504

Jackson County (541) 789-5710

ERIC A PENA MD FACC

Internal Medicine (Clinical Cardiac Electrophysiology)

520 MEDICAL CENTER DR, SUITE 200
MEDFORD, OR 97504

Jackson County (541) 282-6606

DR. JAEKYOUNG AUDREY HONG MD

Internal Medicine (Interventional Cardiology)

520 MEDICAL CENTER DR, SUITE 200
MEDFORD, OR 97504

Jackson County (541) 930-7222

DANI J THOMAS DO

Internal Medicine (Critical Care Medicine)

520 MEDICAL CENTER DR, SUITE 2001
MEDFORD, OR 97504

Jackson County (541) 789-5710

CARDIOVASCULAR INSTITUTE OF SOUTHERN OREGON, LLC

Clinic/Center (Medical Specialty)

520 MEDICAL CENTER DR, SUITE 150
MEDFORD, OR 97504

Jackson County (541) 282-6660

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 Jeffery Herbert's NPI number?

The NPI number for Jeffery Herbert is 1174604359. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Jeffery Herbert located?

Jeffery Herbert practices at 520 Medical Center Dr Suite 300, Medford, OR 97504. The listed phone number is (541) 282-6685.

What is Jeffery Herbert's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jeffery Herbert enrolled in Medicare?

Yes. Jeffery 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 Jeffery Herbert accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jeffery 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 Jeffery Herbert affiliated with any hospitals?

According to CMS data, Jeffery Herbert is affiliated with Asante Three Rivers Medical Center and Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffery Herbert was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.