DR. KRISTEN NICOLE HERRING MD
NPI 1437721578
Family Medicine in Sumter, SC

Q: What is Kristen Herring's NPI number?

The NPI number for Kristen Herring is 1437721578. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Q: What is Kristen Herring's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Herring was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since July 16, 2021PECOS EnrolledAccepts Medicare Assignment

1295 WILSON HALL RD, SUMTER, SC 29150(803) 905-6800(803) 905-6810 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, May 24, 2022, Jul 16, 2021 (3 updates tracked since 2021).

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About Dr. Kristen Nicole Herring Md NPPES

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

DR. KRISTEN NICOLE HERRING MD (NPI 1437721578) is an individual family medicine provider in Sumter, South Carolina, licensed in South Carolina (86323) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Medical University Of South Carolina College Of Medicine (2021).

NPPES Registry Identity

NPI1437721578

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KRISTEN NICOLE HERRINGCredential: MD

Location Address1295 WILSON HALL RDSumter, SC 29150-1804

Mailing Address1295 Wilson Hall RdSumter, SC 29150-1804 · (803) 905-6800

Phone(803) 905-6800

Fax(803) 905-6810

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2021

Enumeration DateJuly 16, 2021

Last NPPES UpdateAugust 26, 20253 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1437721578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 86323

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedSurgeryTaxonomy 208600000X · License MMD.86323 (SC)

1295 WILSON HALL RD, Sumter, SC 29150

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health, Molina Healthcare.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. Kristen Nicole Herring 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 ID4981000726

PECOS Enrollment IDI20240116000880

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 6

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

42 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services34 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

21 services21 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

17 services17 patients

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.

17 services17 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420070

Location129 N Washington StSumter, SC 29150 · Sumter County

Emergency services Birthing friendly

Mcleod Health Clarendon

Acute Care Hospitals · Manning, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420109

Location10 East Hospital StreetManning, SC 29102 · Clarendon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 7

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

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC

Internal Medicine