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BURNETTA HERRON M.D.
NPI 1841211513
Surgery in Chicago, IL

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
1740 W TAYLOR ST, CHICAGO, IL 60612(312) 355-6281 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Burnetta Herron M.d. NPPES

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

BURNETTA HERRON M.D. (NPI 1841211513) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (036-101632) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1841211513
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameBURNETTA HERRONCredential: M.D.
Location Address1740 W TAYLOR STChicago, IL 60612-7232
Mailing Address1740 W Taylor StChicago, IL 60612-7232 · (312) 355-6281
Phone(312) 355-6281
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1997
Enumeration DateJuly 21, 2006
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1841211513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036-101632
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.
1740 W TAYLOR ST, Chicago, IL 60612
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12701 W 68th StChicago, IL 60629-1813 · Phone (773) 884-9000
Location 21009 S Wood StChicago, IL 60612-3747 · Phone (312) 355-6281
Location 31500 S Fairfield Ave Dept OfChicago, IL 60608-1782 · Phone (312) 257-4752

Accepted Insurance

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

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

Burnetta Herron 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 ID9335046507
PECOS Enrollment IDI20031216000429
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

2

Medicare enrollment records show Burnetta Herron reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of The University Of Illinois
Same address
Anesthesiology
1740 W TAYLOR ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1013136282 (312) 996-4020
Mount Sinai Community Foundation Dba Sinai Medical Group
1.0 mi
Family Medicine
1859 S BLUE ISLAND AVE
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Mount Sinai Community Foundation
  • 646 clinicians in this Medicare group
NPI 1407264583 (773) 738-3111

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

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.

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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Cgh Medical Center

Acute Care Hospitals · Sterling, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140043
Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

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.

MRS. CATHLEEN CONWAY JENSEN OTR/L
Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Cook County (312) 996-3700
KELLY M HOYERT PA-C
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
DR. YI-LOONG COLIN WOON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
VIDHI SRIVASTAVA MD
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
AMY PHAM D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WILSON CHING M.D.
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
ADRIENNE BERMAN MD
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
JOSEPH S COLLA M.D.
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-8177

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 Burnetta Herron's NPI number?

The NPI number for Burnetta Herron is 1841211513. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Burnetta Herron located?

Burnetta Herron practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (312) 355-6281.

What is Burnetta Herron's specialty?

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

Is Burnetta Herron enrolled in Medicare?

Yes. Burnetta Herron 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 Burnetta Herron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Burnetta Herron reassigns Medicare benefits to 2 organizations: Board Of Trustees Of The University Of Illinois (Chicago, IL) and Mount Sinai Community Foundation Dba Sinai Medical Group (Chicago, IL). 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 Burnetta Herron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Burnetta Herron accept?

Health plans from Oscar Health list Burnetta Herron 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 Burnetta Herron affiliated with any hospitals?

According to CMS data, Burnetta Herron is affiliated with Cgh Medical Center.

When was this NPI record last updated?

The NPPES record for Burnetta Herron was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.