DR. CAROLYN L HERRINGTON M.D.
NPI 1669453411
Internal Medicine in Huntsville, AL

Q: What is Carolyn Herrington's NPI number?

The NPI number for Carolyn Herrington is 1669453411. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is Carolyn Herrington's specialty?

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

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment

420 LOWELL DR SE, SUITE 300, HUNTSVILLE, AL 35801(256) 535-5972(256) 536-5930 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Carolyn L Herrington M.d. NPPES

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

DR. CAROLYN L HERRINGTON M.D. (NPI 1669453411) is an individual internal medicine provider in Huntsville, Alabama, licensed in Alabama (26814) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2002).

NPPES Registry Identity

NPI1669453411

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. CAROLYN L HERRINGTONCredential: M.D.

Location Address420 LOWELL DR SE, SUITE 300Huntsville, AL 35801-3754

Mailing Address420 Lowell Dr Se, Suite 103Huntsville, AL 35801-3754 · (256) 535-5943 · Fax (256) 535-5954

Phone(256) 535-5972

Fax(256) 536-5930

Sole ProprietorYes

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2002

Enumeration DateNovember 9, 2005

Last NPPES UpdateDecember 7, 2009

✔ NPI 1669453411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AL · 26814

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.

420 LOWELL DR SE, Huntsville, AL 35801

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Other Identifiers 9

Medicaid051559665AL

Medicare PIN051559665AL

Other51541860AL · Blue Cross Of Al

Medicare PINP00436658AL

Other1669453411TN · Blue Cross Of Tennessee

Other35-2302740AL · Aetna

Medicare UPINI43164AL

Medicaid051558691AL

Medicare PIN051556807AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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. Carolyn L Herrington 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 ID5496789315

PECOS Enrollment IDI20050920001409

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 11

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.

307 services130 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.

164 services138 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.

144 services143 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.

137 services137 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

132 services132 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

123 services121 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.

76 services55 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

26 services12 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.

24 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

16 services16 patients

Hemoglobin a1c level, by device for home use 83037

A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%257 patients5/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

98%103 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

94%3,595 patients4/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

93%59 patients4/55-star benchmark: 96%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%769 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

55%769 patients3/55-star benchmark: 99%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

96%258 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%264 patients5/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

67%769 patients3/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

77%146 patients4/55-star benchmark: 98%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

1%769 patients1/55-star benchmark: 59%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

A HORTON SMITH MD, PC

Obstetrics & Gynecology (Hospice and Palliative Medicine)

420 LOWELL DR SE, SUITE 400
HUNTSVILLE, AL 35801

Madison County (256) 265-2555

RAMI HAWARI M.D.

Internal Medicine (Gastroenterology)

420 LOWELL DR SE, SUITE 204
HUNTSVILLE, AL 35801

Madison County (256) 536-9031

DR. JAMES KING BYRD III M.D.

Internal Medicine

420 LOWELL DR SE, SUITE 300
HUNTSVILLE, AL 35801

Madison County (256) 535-5972

DR. ALI A M HASSOUN MD

Internal Medicine (Infectious Disease)

420 LOWELL DR SE, SUITE 301
HUNTSVILLE, AL 35801

Madison County (256) 265-7955

RAMANN NALLAMALA MD PC

Internal Medicine

420 LOWELL DR SE, SUITE 103
HUNTSVILLLE, AL 35801

Madison County (256) 535-5940

REKHA VANKINENI M.D.

Internal Medicine

420 LOWELL DR SE, SUITE 200
HUNTSVILLE, AL 35801

Madison County (256) 704-3571

JON RICE MOODY MD

Internal Medicine

420 LOWELL DR SE, SUITE 106
HUNTSVILLE, AL 35801

Madison County (256) 535-5964

HEEJUNG VICTORIA KANG MD

Internal Medicine

420 LOWELL DR SE
HUNTSVILLE, AL 35801

Madison County (265) 535-5972

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 Carolyn Herrington's NPI number?

The NPI number for Carolyn Herrington is 1669453411. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Carolyn Herrington located?

Carolyn Herrington practices at 420 Lowell Dr SE Suite 300, Huntsville, AL 35801. The listed phone number is (256) 535-5972.

What is Carolyn Herrington's specialty?

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

Is Carolyn Herrington enrolled in Medicare?

Yes. Carolyn Herrington 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 Carolyn Herrington accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Carolyn Herrington 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.

When was this NPI record last updated?

The NPPES record for Carolyn Herrington was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.