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KEVIN HERRON MD
NPI 1982628129
Family Medicine in Mill Creek, WA

Active since July 27, 2006Opted out of Medicare · through May 16, 2028
1025 153RD ST SE, SUITE 200, MILL CREEK, WA 98012(425) 745-4750(425) 745-6158 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Herron Md NPPES

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

KEVIN HERRON MD (NPI 1982628129) is an individual family medicine provider in Mill Creek, Washington, licensed in Washington (MD00040146) and active in the NPI registry since July 2006. He has opted out of Medicare through May 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982628129
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN HERRONCredential: MD
Location Address1025 153RD ST SE, SUITE 200Mill Creek, WA 98012-4051
Mailing Address1025 153rd St Se, Suite 200Mill Creek, WA 98012-4051 · (425) 745-4750 · Fax (425) 745-6158
Phone(425) 745-4750
Fax(425) 745-6158
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982628129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00040146
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1025 153RD ST SE, Mill Creek, WA 98012
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Other Identifiers 2

Medicare UPINH69639WA
Medicare ID-Type Unspecified8855172WA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kevin Herron Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 16, 2024 through May 16, 2028.

Opt-Out Effective DateMay 16, 2024
Opt-Out In Effect ThroughMay 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 2

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.
70 services53 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98012 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 12

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

MR. SAIHOU JAGNE
Nurse Practitioner
1025 153RD ST SE
MILL CREEK, WA 98012
Snohomish County (425) 338-4000
CASCADE EYE M.D.S, PLLC
Ophthalmology
1025 153RD ST SE, SUITE 100
MILL CREEK, WA 98012
Snohomish County (425) 316-0338
RICHARD J KENNY M.D.
Ophthalmology
1025 153RD ST SE, SUITE 100
MILL CREEK, WA 98012
Snohomish County (425) 316-0338
JOHN W STIEBER DDS.PS
Dentist (Orthodontics and Dentofacial Orthopedics)
1025 153RD ST SE, SUITE 102
MILL CREEK, WA 98012
Snohomish County (425) 745-6322
LINDA MAE CIRTAUT D.D.S., P.S.
Dentist (General Practice)
1025 153RD ST SE, SUITE #103
MILL CREEK, WA 98012
Snohomish County (425) 745-2703
MARK T ANDERSON MD
Family Medicine
1025 153RD ST SE, SUITE 200
MILL CREEK, WA 98012
Snohomish County (425) 745-4750
DR. JAMES TON DO
Family Medicine
1025 153RD ST SE
MILL CREEK, WA 98012
Snohomish County (425) 338-4000
LINDA M CIRTAUT DDS PS
Dentist
1025 153RD ST SE, SUITE 103
MILL CREEK, WA 98012
Snohomish County (425) 745-2703

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 Kevin Herron's NPI number?

The NPI number for Kevin Herron is 1982628129. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Kevin Herron located?

Kevin Herron practices at 1025 153rd St SE Suite 200, Mill Creek, WA 98012. The listed phone number is (425) 745-4750.

What is Kevin Herron's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Herron enrolled in Medicare?

No. Kevin Herron has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kevin Herron accept?

Health plans from PacificSource Health Plans list Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Herron was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.