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MRS. VIRGINIA L HERBERT M.D, F.A.C.S.
NPI 1720047558
Surgery in Gloucester, VA

Active since March 21, 2006PECOS Enrolled
7554 HOSPITAL DR STE D-303, GLOUCESTER, VA 23061(804) 693-3400 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2020, May 10, 2019 (2 updates tracked since 2019).

About Mrs. Virginia L Herbert M.d, F.a.c.s. NPPES

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

MRS. VIRGINIA L HERBERT M.D, F.A.C.S. (NPI 1720047558) is an individual surgery provider in Gloucester, Virginia, licensed in Virginia (0101256109) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miramar.

NPPES Registry Identity

NPI1720047558
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMRS. VIRGINIA L HERBERTCredential: M.D, F.A.C.S.
Location Address7554 HOSPITAL DR STE D-303Gloucester, VA 23061-4178
Mailing Address13 Guyer StLebanon, NH 03766-1210 · (603) 727-2026
Phone(804) 693-3400
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateJune 30, 20202 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
✔ NPI 1720047558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in VA · 0101256109✔ Licensed in NH · 14767✔ Licensed in TX · M3015
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 14767 (NH)
7554 HOSPITAL DR STE D-303, Gloucester, VA 23061
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Secondary Practice Location 1

Location 13601 SW 160th Ave, Suite 250Miramar, FL 33027-6308 · Phone (954) 399-4642 · Fax (877) 859-8768

Other Identifiers 7

Other14767NH · State License
Other1720047558VT · Bcbs
Medicaid30209202NH
Medicaid1017051VT
OtherAA163726NH · Harvard Pilgrim
Other1720047558NH · Anthem
Other3012207NH · Mvp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Virginia L Herbert M.d, F.a.c.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Virginia Herbert reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Page Memorial Hospital Inc.
125 mi
Rural Health
12699 LEE HWY
Washington, VA 22747
  • Reassigned Medicare billing, Virginia enrollment
  • 364 clinicians in this Medicare group
NPI 1639552995 (540) 987-5068
Warren Memorial Hospital, Inc.
136 mi
Emergency Medicine
351 VALLEY HEALTH WAY
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 367 clinicians in this Medicare group
NPI 1164442281 (540) 636-0300
Shenandoah Memorial Hospital Inc.
144 mi
Rural Health
9166 N CONGRESS ST
New Market, VA 22844
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1407357015 (Virginia)
  • 416 clinicians in this Medicare group
NPI 1740711472 (540) 459-1340
University Healthcare Physicians Inc
162 mi
Anesthesiology
2500 FOUNDATION WAY
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 208 clinicians in this Medicare group
NPI 1417371329 (304) 264-9202
Vicksburg Healthcare LLC
881 mi
Anesthesiology
2100 HIGHWAY 61 N
Vicksburg, MS 39183
  • Reassigned Medicare billing, Mississippi enrollment
  • 35 clinicians in this Medicare group
NPI 1629084058 (601) 883-5695

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.
92 services61 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.
48 services48 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services38 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.
12 services12 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23061 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

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 Virginia Herbert's NPI number?

The NPI number for Virginia Herbert is 1720047558. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Virginia Herbert located?

Virginia Herbert practices at 7554 Hospital Dr Ste D-303, Gloucester, VA 23061. The listed phone number is (804) 693-3400.

What is Virginia Herbert's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Virginia Herbert enrolled in Medicare?

Yes. Virginia Herbert is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Virginia Herbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Herbert reassigns Medicare benefits to 5 organizations: Page Memorial Hospital Inc. (Washington, VA), Warren Memorial Hospital, Inc. (Front Royal, VA), Shenandoah Memorial Hospital Inc. (New Market, VA), University Healthcare Physicians Inc (Martinsburg, WV) and Vicksburg Healthcare LLC (Vicksburg, MS). 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 Virginia Herbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Herbert accept?

Health plans from CareSource and Taro Health list Virginia Herbert 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 Virginia Herbert was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.