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MR. MATTHEW B HERNDON PA C
NPI 1235198417
Physician Assistant in Huntsville, AL

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801(256) 539-2728(256) 428-3423 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Matthew B Herndon Pa C NPPES

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

MR. MATTHEW B HERNDON PA C (NPI 1235198417) is an individual physician assistant in Huntsville, Alabama, licensed in Alabama (PA396) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1235198417
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MATTHEW B HERNDONCredential: PA C
Location Address927 FRANKLIN ST SEHuntsville, AL 35801-4306
Mailing Address927 Franklin St SeHuntsville, AL 35801-4306 · (256) 539-2728 · Fax (256) 428-3423
Phone(256) 539-2728
Fax(256) 428-3423
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 17, 2006
Last NPPES UpdateFebruary 2, 2010
✔ NPI 1235198417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AL · PA396
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
927 FRANKLIN ST SE, Huntsville, AL 35801
Open in Google Maps ↗

Other Identifiers 6

Medicare UPINQ28236
Medicaid009978295AL
Other7346659AL · Aetna
Medicare ID-Type Unspecified051555197AL
Other51000085AL · Bcbs
Other0900180AL · United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

Mr. Matthew B Herndon Pa C 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 ID6305800954
PECOS Enrollment IDI20041115000425
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 9

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.

Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
32 services32 patients
Partial removal of collar bone at shoulder using an endoscope 29824
This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.
31 services31 patients
Shaving of part of shoulder bone and repair of ligament using an endoscope 29826
This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.
31 services31 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
30 services30 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
17 services17 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
6%1,064 patients1/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KAITLIN TERRY MOTR/L
Occupational Therapist (Physical Rehabilitation)
927 FRANKLIN ST SE, 2ND FLOOR
HUNTSVILLE, AL 35801
Madison County (256) 428-3000
SUDHAKAR G. MADANAGOPAL MD
Orthopaedic Surgery (Orthopaedic Trauma)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Madison County (256) 539-2728
DR. JAMES TURNER HUGHEY III D.O.
Orthopaedic Surgery (Sports Medicine)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Madison County (256) 539-2728
GINA PORTER
Occupational Therapist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Madison County (256) 539-2728
DR. HEATHER LEIGH LICHT M.D.
Orthopaedic Surgery (Hand Surgery)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Madison County (256) 539-2728
RYNE SHEFFIELD CRAIG PA-C
Physician Assistant (Surgical)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Madison County (256) 539-2728
DR. CAITLYN PIPER ROBERTS AU.D.
Audiologist
927 FRANKLIN ST SE, SUITE 100
HUNTSVILLE, AL 35801
Madison County (256) 535-9038
CANDACE WEBB-TAYLOR CRNP
Nurse Practitioner (Family)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Madison County (256) 539-2728

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 Matthew Herndon's NPI number?

The NPI number for Matthew Herndon is 1235198417. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Matthew Herndon located?

Matthew Herndon practices at 927 Franklin St SE, Huntsville, AL 35801. The listed phone number is (256) 539-2728.

What is Matthew Herndon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Herndon enrolled in Medicare?

Yes. Matthew 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.

What insurance does Matthew Herndon accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers list Matthew 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 Matthew Herndon was last updated on February 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.