1. Home
  2. Directory
  3. Alabama
  4. Birmingham
  5. Internal Medicine
  6. NPI Profile

MR. JOHN STEWART HERNDON MD
NPI 1770080400
Internal Medicine - Gastroenterology in Birmingham, AL

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment
1 INDEPENDENCE PLAZA, SUITE 900, BIRMINGHAM, AL 35209(205) 271-8000(205) 271-8050 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2024, May 13, 2024, Mar 26, 2021 and 1 more (4 updates tracked since 2018).

About Mr. John Stewart Herndon Md NPPES

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

MR. JOHN STEWART HERNDON MD (NPI 1770080400) is an individual gastroenterology provider in Birmingham, Alabama, licensed in Alabama (MD.38885) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770080400
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMR. JOHN STEWART HERNDONCredential: MD
Location Address1 INDEPENDENCE PLAZA, SUITE 900Birmingham, AL 35209-2643
Mailing Address1 Independence Plaza, Suite 900Birmingham, AL 35209-2643 · (205) 271-8000 · Fax (205) 271-8050
Phone(205) 271-8000
Fax(205) 271-8050
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 9, 2018
Last NPPES UpdateOctober 10, 20244 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1770080400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in AL · MD.38885
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1 INDEPENDENCE PLAZA, Birmingham, AL 35209
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Mr. John Stewart Herndon 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 ID1355691916
PECOS Enrollment IDI20240510001797
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 3

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
17 services17 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
14 services14 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35209 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.

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.

MR. DAVID JON LANDY MD
Internal Medicine (Gastroenterology)
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Jefferson County (205) 271-8000
CYNTHIA P MALDONADO CRNA
Nurse Anesthetist, Certified Registered
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Jefferson County (205) 271-8000
RACHAEL LAUREN ABROMS PA
Physician Assistant
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Jefferson County (205) 271-8000
DOUGLAS SCOTT DICKINSON MD
Internal Medicine (Gastroenterology)
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Jefferson County (205) 271-8000
MR. JOHN T ANDERSON CRNA
Nurse Anesthetist, Certified Registered
1 INDEPENDENCE PLAZA, STE 900
BIRMINGHAM, AL 35209
Jefferson County (205) 271-8000
MRS. DANIELLE M LINGO CRNP
Nurse Practitioner
1 INDEPENDENCE PLAZA, STE 900
BIRMINGHAM, AL 35209
Jefferson County (205) 271-8000
BIRMINGHAM GASTROENTEROLOGY ASSOCIATES PC
Internal Medicine (Gastroenterology)
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Jefferson County (205) 271-8000
BGA PHARMACIES, LLC
Pharmacy (Community/Retail Pharmacy)
1 INDEPENDENCE PLAZA, SUITE 900A
HOMEWOOD, AL 35209
Jefferson County (205) 259-5460

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 Herndon's NPI number?

The NPI number for John Herndon is 1770080400. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is John Herndon located?

John Herndon practices at 1 Independence Plaza Suite 900, Birmingham, AL 35209. The listed phone number is (205) 271-8000.

What is John Herndon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Herndon enrolled in Medicare?

Yes. John Herndon 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 John Herndon accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list John Herndon 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 John Herndon was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.