DR. PAUL K. HERRELL MD
NPI 1336134998
Ophthalmology in Hopkinsville, KY

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
205 W 15TH ST, HOPKINSVILLE, KY 42240(270) 886-2020(270) 885-6271 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul K. Herrell Md NPPES

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

DR. PAUL K. HERRELL MD (NPI 1336134998) is an individual ophthalmology provider in Hopkinsville, Kentucky, licensed in Kentucky (33605) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Muhlenberg Community Hospital, and is a graduate of University Of Louisville School Of Medicine (1992).

NPPES Registry Identity

NPI1336134998
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PAUL K. HERRELLCredential: MD
Location Address205 W 15TH STHopkinsville, KY 42240-2035
Mailing Address205 W 15th StHopkinsville, KY 42240-2035 · (270) 886-2020 · Fax (270) 885-6271
Fax(270) 885-6271
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1992
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1336134998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in KY · 33605
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
205 W 15TH ST, Hopkinsville, KY 42240

Other Identifiers 3

Medicare ID-Type Unspecified1288604KY
Medicaid64363054KY
Medicare UPING59521KY

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

Dr. Paul K. Herrell 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 ID9537204714
PECOS Enrollment IDI20100720000041
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 12

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 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.
497 services495 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
473 services189 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
466 services270 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
335 services136 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.
322 services322 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
207 services188 patients

Hospital Affiliations CMS Care Compare 4

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

Owensboro Health Muhlenberg Community Hospital

Acute Care Hospitals · Greenville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180004
Location440 Hopkinsville StreetGreenville, KY 42345 · Muhlenberg County
Emergency services

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180051
Location320 West 18th StreetHopkinsville, KY 42240 · Christian County
Emergency services Birthing friendly

Trigg County Hospital

Critical Access Hospitals · Cadiz, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181304
Location254 Main StreetCadiz, KY 42211 · Trigg County
Emergency services

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181322
Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42240 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
5 suppliers11 claims11 services$52.35 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 3

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

Ophthalmology
205 W 15TH ST
HOPKINSVILLE, KY 42240
Optometrist
205 W 15TH ST
HOPKINSVILLE, KY 42240
Ophthalmology
205 W 15TH ST
HOPKINSVILLE, KY 42240

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 Paul Herrell's NPI number?

The NPI number for Paul Herrell is 1336134998. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Paul Herrell located?

Paul Herrell practices at 205 W 15th St, Hopkinsville, KY 42240. The listed phone number is (270) 886-2020.

What is Paul Herrell's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Paul Herrell enrolled in Medicare?

Yes. Paul Herrell 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 Paul Herrell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Paul Herrell 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 Paul Herrell affiliated with any hospitals?

According to CMS data, Paul Herrell is affiliated with Owensboro Health Muhlenberg Community Hospital, Jennie Stuart Medical Center, Trigg County Hospital and Caldwell Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Herrell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.