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KATHRYN DIANNE HERDEN PA-C
NPI 1750734604
Physician Assistant in Oviedo, FL

Active since July 15, 2016PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
7560 RED BUG LAKE RD STE 2048, OVIEDO, FL 32765(407) 366-8856(407) 977-4319 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2020, Jun 15, 2018, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

About Kathryn Dianne Herden Pa-c NPPES

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

KATHRYN DIANNE HERDEN PA-C (NPI 1750734604) is an individual physician assistant in Oviedo, Florida, licensed in Florida (PA9110990) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1750734604
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHRYN DIANNE HERDENCredential: PA-C
Location Address7560 RED BUG LAKE RD STE 2048Oviedo, FL 32765-6591
Mailing Address7560 Red Bug Lake Rd Ste 2048Oviedo, FL 32765-6591 · (407) 366-8856 · Fax (407) 977-4319
Phone(407) 366-8856
Fax(407) 977-4319
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 15, 2016
Last NPPES UpdateFebruary 28, 20206 updates tracked since enumeration
✔ NPI 1750734604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9110990
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7560 RED BUG LAKE RD STE 2048, Oviedo, FL 32765
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Kathryn Dianne Herden Pa-c 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 ID8022302751
PECOS Enrollment IDI20180529001000
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 8

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.
219 services136 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
132 services132 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.
126 services126 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
119 services119 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services22 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32765 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AVE MARIA ARMSTRONG ARNP
Nurse Practitioner (Family)
7560 RED BUG LAKE RD STE 2048
OVIEDO, FL 32765
Seminole County (407) 366-8856
DR. KATHLEEN PAIGE DIXON MD
Family Medicine
7560 RED BUG LAKE RD STE 2048
OVIEDO, FL 32765
Seminole County (407) 366-8856

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 Kathryn Herden's NPI number?

The NPI number for Kathryn Herden is 1750734604. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Where is Kathryn Herden located?

Kathryn Herden practices at 7560 Red Bug Lake Rd Ste 2048, Oviedo, FL 32765. The listed phone number is (407) 366-8856.

What is Kathryn Herden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kathryn Herden enrolled in Medicare?

Yes. Kathryn Herden 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 Kathryn Herden accept?

Health plans from Oscar Health Maintenance Organization of Florida list Kathryn Herden 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.

Is Kathryn Herden affiliated with any hospitals?

According to CMS data, Kathryn Herden is affiliated with Orlando Health and Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Kathryn Herden was last updated on February 28, 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.