JENNIFER LYNN HERINGTON MD
NPI 1215565270
Hospitalist in Lincolnton, NC

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
433 MCALISTER RD, LINCOLNTON, NC 28092(704) 574-4746 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, Apr 1, 2020, Mar 27, 2020 (3 updates tracked since 2020).

About Jennifer Lynn Herington Md NPPES

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

JENNIFER LYNN HERINGTON MD (NPI 1215565270) is an individual hospitalist provider in Lincolnton, North Carolina, licensed in North Carolina (2023-02277) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1215565270
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameJENNIFER LYNN HERINGTONCredential: MD
Location Address433 MCALISTER RDLincolnton, NC 28092-4147
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedApril 1, 2020
NPI 1215565270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NC · 2023-02277
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2023-02277 (NC)
433 MCALISTER RD, Lincolnton, NC 28092

Secondary Practice Locations 4

Location 110628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070
Location 28800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241
Location 31000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720
Location 42001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070

Accepted 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

Jennifer Lynn Herington 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 ID6103248828
PECOS Enrollment IDI20231030001592
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
344 services172 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
189 services177 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.
120 services75 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28092 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
433 MCALISTER RD
LINCOLNTON, NC 28092
General Practice
433 MCALISTER RD
LINCOLNTON, NC 28092
Hospitalist
433 MCALISTER RD
LINCOLNTON, NC 28092
Nurse Anesthetist, Certified Registered
433 MCALISTER RD
LINCOLNTON, NC 28092
Internal Medicine
433 MCALISTER RD
LINCOLNTON, NC 28092
Registered Nurse
433 MCALISTER RD
LINCOLNTON, NC 28092
Hospitalist
433 MCALISTER RD
LINCOLNTON, NC 28092
Registered Nurse
433 MCALISTER RD
LINCOLNTON, NC 28092

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 Jennifer Herington's NPI number?

The NPI number for Jennifer Herington is 1215565270. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Jennifer Herington located?

Jennifer Herington practices at 433 Mcalister Rd, Lincolnton, NC 28092. The listed phone number is (704) 574-4746.

What is Jennifer Herington's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jennifer Herington enrolled in Medicare?

Yes. Jennifer Herington 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 Jennifer Herington accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health Plan of North Carolina, Inc list Jennifer Herington 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 Jennifer Herington affiliated with any hospitals?

According to CMS data, Jennifer Herington is affiliated with Carolinas Medical Center/Behav Health and Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Jennifer Herington was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.