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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN R HEREFORD MD
NPI 1619931557
Obstetrics & Gynecology in Norton, VA

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
102 15TH ST NW STE 301, NORTON, VA 24273(276) 439-1470(276) 439-1471 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 12, 2026, Mar 31, 2021, Mar 5, 2020 and 3 more (6 updates tracked since 2017).

About John R Hereford Md NPPES

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

JOHN R HEREFORD MD (NPI 1619931557) is an individual obstetrics & gynecology provider in Norton, Virginia, licensed in Tennessee (MD15919) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619931557
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN R HEREFORDCredential: MD
Location Address102 15TH ST NW STE 301Norton, VA 24273-1627
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111
Phone(276) 439-1470
Fax(276) 439-1471
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1979
Enumeration DateApril 17, 2006
Last NPPES UpdateOctober 12, 20266 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1619931557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in TN · MD15919✔ Licensed in VA · 0101290061
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
102 15TH ST NW STE 301, Norton, VA 24273
Open in Google Maps ↗

Secondary Practice Locations 3

Location 15000 Monarch Pt Ste 300Greeneville, TN 37745-4275 · Phone (423) 636-2770 · Fax (423) 636-2771
Location 2301 Med Tech Pkwy Ste 200Johnson City, TN 37604-2641 · Phone (423) 794-1300 · Fax (423) 794-1820
Location 32002 Brookside Dr Ste 300Kingsport, TN 37660-4634 · Phone (423) 530-7900 · Fax (423) 530-7901

Other Identifiers 4

Medicaid3011101TN
Medicaid7100045670KY
Medicaid1619931557VA
Medicaid3011104TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John R Hereford 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 ID3072615178
PECOS Enrollment IDI20070220000522
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.

Medicare Billing Reassignments

4

Medicare enrollment records show John Hereford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmont Medical Associates, Inc.
2.5 mi
Internal Medicine
601 COMMONWEALTH DR
Norton, VA 24273
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1003274994 (276) 679-6028
Blue Ridge Medical Management Corporation
27 mi
Interventional Cardiology
444 CLINCHFIELD ST, UNIT 201
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1205249885 (423) 857-7650
State Of Franklin Healthcare Associates PLLC
40 mi
Internal Medicine
121 BOONE RIDGE DR STE 1002
Johnson City, TN 37615
  • Reassigned Medicare billing, Tennessee enrollment
  • 357 clinicians in this Medicare group
NPI 1063459410 (423) 794-5500
Medical Education Assistance Corporation
43 mi
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1235180480 (423) 433-6039

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
41 services41 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
39 services39 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.
37 services25 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services14 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24273 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
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.

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.

KRISTINA GARDNER FNP
Nurse Practitioner (Family)
102 15TH ST NW STE 301
NORTON, VA 24273
Norton City (276) 439-1470
JENNIFER C HERRELL CNM
Advanced Practice Midwife
102 15TH ST NW STE 301
NORTON, VA 24273
Norton City (276) 439-1470
DR. JOSEPH BRAM JOHNS M.D.
Hospitalist
102 15TH ST NW STE 301
NORTON, VA 24273
Norton City (276) 439-1470

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 John Hereford's NPI number?

The NPI number for John Hereford is 1619931557. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is John Hereford located?

John Hereford practices at 102 15th St NW Ste 301, Norton, VA 24273. The listed phone number is (276) 439-1470.

What is John Hereford's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Hereford enrolled in Medicare?

Yes. John Hereford 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.

Which organizations bill Medicare for John Hereford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Hereford reassigns Medicare benefits to 4 organizations: Wellmont Medical Associates, Inc. (Norton, VA), Blue Ridge Medical Management Corporation (Kingsport, TN), State Of Franklin Healthcare Associates PLLC (Johnson City, TN) and Medical Education Assistance Corporation (Johnson City, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Hereford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Hereford affiliated with any hospitals?

According to CMS data, John Hereford is affiliated with Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for John Hereford was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.