ELENA F. HERNDON M.D.
NPI 1457449407
Psychiatry & Neurology - Psychiatry in Charlottesville, VA

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1221 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-5348(434) 924-8335 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Oct 12, 2020 (2 updates tracked since 2020).

About Elena F. Herndon M.d. NPPES

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

ELENA F. HERNDON M.D. (NPI 1457449407) is an individual psychiatry provider in Charlottesville, Virginia, licensed in Virginia (0101249709) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1457449407
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameELENA F. HERNDONCredential: M.D.
Location Address1221 LEE STCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 924-8335
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1457449407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in VA · 0101249709 Licensed in AL · 25308AL
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1221 LEE ST, Charlottesville, VA 22908

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-0211

Other Identifiers 4

OtherP00078330AL · Medicare Railroad
Other051517422AL · Blue Cross
Other203281200AL · Us Department Of Labor
Other51519732AL · Federal Blue Cross

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

Elena F. Herndon M.d. 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 ID9234152141
PECOS Enrollment IDI20140203001366
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

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.
53 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Physician Assistant (Medical)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Psychiatry & Neurology (Neurology)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
1221 LEE ST, 2ND FLOOR
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1221 LEE ST
CHARLOTTESVILLE, VA 22908

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 Elena Herndon's NPI number?

The NPI number for Elena Herndon is 1457449407. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Elena Herndon located?

Elena Herndon practices at 1221 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-5348.

What is Elena Herndon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Elena Herndon enrolled in Medicare?

Yes. Elena 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.

Is Elena Herndon affiliated with any hospitals?

According to CMS data, Elena Herndon is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Elena Herndon was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.