CLAUDE DAVID ANTHONY HERNDON MD
NPI 1205863396
Urology in Richmond, VA

Q: What is Claude David Herndon's NPI number?

The NPI number for Claude David Herndon is 1205863396. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Claude David Herndon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment

1250 E MARSHALL ST, SURGERY, RICHMOND, VA 23298(804) 828-2467(804) 628-5683 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Claude David Anthony Herndon Md NPPES

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

CLAUDE DAVID ANTHONY HERNDON MD (NPI 1205863396) is an individual urology provider in Richmond, Virginia, licensed in Virginia (0101249154) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1995).

NPPES Registry Identity

NPI1205863396

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameCLAUDE DAVID ANTHONY HERNDONCredential: MD

Location Address1250 E MARSHALL ST, SURGERYRichmond, VA 23298-5051

Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619

Phone(804) 828-2467

Fax(804) 628-5683

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1995

Enumeration DateJune 26, 2006

Last NPPES UpdateAugust 29, 2016

✔ NPI 1205863396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in VA · 0101249154

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1250 E MARSHALL ST, Richmond, VA 23298

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Claude David Anthony Herndon 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 ID143405191

PECOS Enrollment IDI20110506000367

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 Reassignment

Medicare enrollment records show Claude David Herndon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcv Associated Physicians

Same address

Anesthesiology

1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298

Reassigned Medicare billing, Virginia enrollment
2,481 clinicians in this Medicare group

NPI 1710959457 (804) 828-8707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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.

NEVIN YILMAZ MD

Student in an Organized Health Care Education/Training Program

1250 E MARSHALL ST
RICHMOND, VA 23298

Richmond City (804) 828-9783

MS. RENEE D SEAMAN NP

Nurse Practitioner (Family)

1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298

Richmond City (804) 828-3144

DR. AIMEE COLLINS MD

Internal Medicine

1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298

Richmond City (804) 828-3144

MRS. MARY ELIZABETH O'BOYLE WILLIS FNP

Nurse Practitioner (Family)

1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298

Richmond City (804) 628-0189

DR. AMY SAMANTHA MAY PAUL M.D.

Internal Medicine (Geriatric Medicine)

1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298

Richmond City (804) 254-3500

MRS. ERICA STOREY CLINE PA-C

Physician Assistant

1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298

Richmond City (804) 828-0996

CYNTHIA CHENAULT AGACNP

Nurse Practitioner (Acute Care)

1250 E MARSHALL ST
RICHMOND, VA 23298

Richmond City (804) 628-3646

DR. TAYLOR LATIA ROACH MD

Student in an Organized Health Care Education/Training Program

1250 E MARSHALL ST
RICHMOND, VA 23298

Richmond City (804) 628-7497

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 Claude David Herndon's NPI number?

The NPI number for Claude David Herndon is 1205863396. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Claude David Herndon located?

Claude David Herndon practices at 1250 E Marshall St Surgery, Richmond, VA 23298. The listed phone number is (804) 828-2467.

What is Claude David Herndon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Claude David Herndon enrolled in Medicare?

Yes. Claude David 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 organization bills Medicare for Claude David Herndon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claude David Herndon reassigns Medicare benefits to Mcv Associated Physicians (Richmond, VA). The 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 Claude David Herndon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claude David Herndon accept?

Health plans from Oscar Health list Claude David 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.

When was this NPI record last updated?

The NPPES record for Claude David Herndon was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.