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DR. CHRISTINE V HERBERT M.D.
NPI 1346202884
Internal Medicine in Pawtucket, RI

Active since April 03, 2006PECOS Enrolled
407 EAST AVE, SUITE120, PAWTUCKET, RI 02860(401) 725-4700(401) 725-4740 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Christine V Herbert M.d. NPPES

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

DR. CHRISTINE V HERBERT M.D. (NPI 1346202884) is an individual internal medicine provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD7842) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346202884
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHRISTINE V HERBERTCredential: M.D.
Location Address407 EAST AVE, SUITE120Pawtucket, RI 02860-5299
Mailing Address407 East Ave, Suite120Pawtucket, RI 02860-5299 · (401) 725-4700 · Fax (401) 725-4740
Phone(401) 725-4700
Fax(401) 725-4740
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateMay 6, 2022
NPPES CertifiedMay 6, 2022
✔ NPI 1346202884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD7842
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
407 EAST AVE, Pawtucket, RI 02860
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Other Identifiers 8

Other21725-5RI · Blue Shield Of Rhode Island
Other406222Tufts
Other1346202884Champus
Medicaid9006581RI
Other04-07270Unitedhealthcare
Other004363RI · Blue Chip Of Rhode Island
Other2971Neighborhood Health Plan Of Rhode Island
Other5010229Aetna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Christine V Herbert M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.
56 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers16 claims560 services$4.74 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.39 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.61 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$13.61 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.

DR. MADHAVI YERNENI M.D.
Internal Medicine
407 EAST AVE, SUITE 120
PAWTUCKET, RI 02860
Providence County (401) 725-4700
DR. PATRICIA N SOSCIA M.D.
Internal Medicine (Rheumatology)
407 EAST AVE, SUITE 250
PAWTUCKET, RI 02860
Providence County (401) 351-2280
DR. ANDREW A NOWAK MD
Internal Medicine (Cardiovascular Disease)
407 EAST AVE, SUITE 130
PAWTUCKET, RI 02860
Providence County (401) 726-7770
RHODE ISLAND HOSPITAL
Clinic/Center (Multi-Specialty)
407 EAST AVE, SUITE 250
PAWTUCKET, RI 02860
Providence County (401) 721-5706
AARON A DAVIS DO
Family Medicine
407 EAST AVE, SUITE 150
PAWTUCKET, RI 02860
Providence County (401) 727-4800
TIMOTHY FARRELL MD
Family Medicine
407 EAST AVE, UNIVERSITY MEDICINE GERIATRICS PRACTICE
PAWTUCKET, RI 02860
Providence County (401) 728-7270
JOHN B MURPHY MD
Family Medicine (Geriatric Medicine)
407 EAST AVE, SUITE 110
PAWTUCKET, RI 02860
Providence County (401) 728-7270
NEW ENGLAND FOOT AND ANKLE ASSOCIATES, PC
Podiatrist (Foot & Ankle Surgery)
407 EAST AVE, SUITE 120
PAWTUCKET, RI 02860
Providence County (401) 726-7777

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 Christine Herbert's NPI number?

The NPI number for Christine Herbert is 1346202884. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Christine Herbert located?

Christine Herbert practices at 407 East Ave Suite120, Pawtucket, RI 02860. The listed phone number is (401) 725-4700.

What is Christine Herbert's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Christine Herbert enrolled in Medicare?

Yes. Christine Herbert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christine Herbert was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.