KATHLEEN SUZANNE HERBIG MD
NPI 1376747824
Plastic Surgery in Knoxville, TN

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1930 ALCOA HWY, SUITE 235, KNOXVILLE, TN 37920(865) 305-4670(865) 305-4671 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Suzanne Herbig Md NPPES

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

KATHLEEN SUZANNE HERBIG MD (NPI 1376747824) is an individual plastic surgery provider in Knoxville, Tennessee, licensed in Tennessee (46226) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1376747824
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameKATHLEEN SUZANNE HERBIGCredential: MD
Location Address1930 ALCOA HWY, SUITE 235Knoxville, TN 37920-1500
Mailing AddressPo Box 440445Nashville, TN 37244-0445 · (865) 670-6199 · Fax (865) 670-6198
Fax(865) 305-4671
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 11, 2007
Last NPPES UpdateFebruary 11, 2013
NPI 1376747824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in TN · 46226
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1930 ALCOA HWY, Knoxville, TN 37920

Other Identifiers 2

Medicare PIN103I243914TN
Medicaid1519133TN

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

Kathleen Suzanne Herbig 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 ID345392049
PECOS Enrollment IDI20101112001121
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.

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
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.

Surgery
1930 ALCOA HWY, STE 335
KNOXVILLE, TN 37920
Plastic Surgery
1930 ALCOA HWY, SUITE 235
KNOXVILLE, TN 37920
Nurse Practitioner (Neonatal)
1930 ALCOA HWY, SUITE 145
KNOXVILLE, TN 37920
Nurse Practitioner (Family)
1930 ALCOA HWY, BUILDING A SUITE 435
KNOXVILLE, TN 37920
Specialist
1930 ALCOA HWY, SUITE 145
KNOXVILLE, TN 37920
Pediatrics (Neonatal-Perinatal Medicine)
1930 ALCOA HWY, SUITE 145
KNOXVILLE, TN 37920
Internal Medicine (Gastroenterology)
1930 ALCOA HWY
KNOXVILLE, TN 37920
Dentist (General Practice)
1930 ALCOA HWY, MEDICAL BUILDING A, SUITE 340
KNOXVILLE, TN 37920

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 Kathleen Herbig's NPI number?

The NPI number for Kathleen Herbig is 1376747824. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Kathleen Herbig located?

Kathleen Herbig practices at 1930 Alcoa Hwy Suite 235, Knoxville, TN 37920. The listed phone number is (865) 305-4670.

What is Kathleen Herbig's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kathleen Herbig enrolled in Medicare?

Yes. Kathleen Herbig 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 Kathleen Herbig accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Kathleen Herbig 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 Kathleen Herbig affiliated with any hospitals?

According to CMS data, Kathleen Herbig is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Kathleen Herbig was last updated on February 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.