DR. BARON VANCE HERFORD D.O.
NPI 1710203955
Hospitalist in Cookeville, TN

Active since April 13, 2010PECOS EnrolledAccepts Medicare Assignment
53.25/100
CMS Quality Rating
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501(931) 372-2770(931) 525-1176 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Baron Vance Herford D.o. NPPES

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

DR. BARON VANCE HERFORD D.O. (NPI 1710203955) is an individual hospitalist provider in Cookeville, Tennessee, licensed in Tennessee (2847) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and maintains a secondary practice location in Corinth.

NPPES Registry Identity

NPI1710203955
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. BARON VANCE HERFORDCredential: D.O.
Location Address1 MEDICAL CENTER BLVDCookeville, TN 38501-4294
Mailing Address401 Alcorn Dr, Suite 2cCorinth, MS 38834-9072 · (662) 286-9255 · Fax (662) 286-9274
Fax(931) 525-1176
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2008
Enumeration DateApril 13, 2010
Last NPPES UpdateSeptember 10, 2018
✔ NPI 1710203955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TN · 2847
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 20998 (MS)
1 MEDICAL CENTER BLVD, Cookeville, TN 38501

Secondary Practice Location 1

Location 1401 Alcorn Dr, Suite 2CCorinth, MS 38834-9072 · Phone (662) 286-9255 · Fax (662) 286-9274

Other Identifiers 3

Medicaid05005793MS
OtherP00951695MS · Railroad Medicare
Other302I116832MS · Medicare

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

Dr. Baron Vance Herford D.o. 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 ID5991838609
PECOS Enrollment IDI20150701002701
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

5

Medicare enrollment records show Baron Herford reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
660 W MAIN ST
Cookeville, TN 38506
  • Reassigned Medicare billing, Tennessee enrollment
  • 36 clinicians in this Medicare group
Hospitalist
1156 NASHVILLE PIKE
Gallatin, TN 37066
  • Reassigned Medicare billing, Tennessee enrollment
  • 195 clinicians in this Medicare group
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Tennessee enrollment
  • 394 clinicians in this Medicare group

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
675 services244 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
228 services198 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
210 services173 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
148 services72 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Vanderbilt Bedford Hospital

Acute Care Hospitals · Shelbyville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440137
Location2835 Hwy 231 NorthShelbyville, TN 37160 · Bedford County
Emergency services

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Livingston Regional Hospital

Acute Care Hospitals · Livingston, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440187
Location315 Oak St Box 550Livingston, TN 38570 · Overton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

53.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality23.76
Improvement Activities40
Cost50.61

Reported Quality Measures

Advance Care Plan
99%443 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%575 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$17.09 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$7.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers30 claims30 services$100.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Hospitalist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Internal Medicine
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Occupational Therapist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Practitioner (Acute Care)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501

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 Baron Herford's NPI number?

The NPI number for Baron Herford is 1710203955. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Where is Baron Herford located?

Baron Herford practices at 1 Medical Center Blvd, Cookeville, TN 38501. The listed phone number is (931) 372-2770.

What is Baron Herford's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Baron Herford enrolled in Medicare?

Yes. Baron Herford 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 Baron Herford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Baron Herford reassigns Medicare benefits to 5 organizations: Amg Livingston LLC (Cookeville, TN), Anova Medical Associates, Plc (Gallatin, TN), App Of Tennessee Hm, PLLC (Shelbyville, TN), Southeastern Physician Services PC (Oak Ridge, TN) and Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN). 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 Baron Herford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Baron Herford affiliated with any hospitals?

According to CMS data, Baron Herford is affiliated with University Health System, Inc, Vanderbilt University Medical Center, Vanderbilt Bedford Hospital, Vanderbilt Tullahoma-Harton Hospital and Livingston Regional Hospital.

When was this NPI record last updated?

The NPPES record for Baron Herford was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.