GEOFFREY GLENN HERNDON (DO) – Anatomic Pathology & Clinical Pathology Physician, NPI 1225590938
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
260 PATHOLOGY in AL
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Provider Addresses for GEOFFREY GLENN HERNDON (DO)
103, Kingstown Circle, Trussville Manor, Trussville, Jefferson County, Alabama, 35173, United States
TRUSSVILLE, AL 351731942
Phone:
Type: Mailing
1720, 2nd Avenue South, Automotive Historic District, Birmingham, Jefferson County, Alabama, 35233, United States
BIRMINGHAM, AL 352940004
Phone: (205) 975-7840
Type: Location
1720 2nd Ave S
Birmingham, AL 352940004
Phone: (205) 975-7840
Type: Location
3801 S National Ave
Springfield, MO 658075210
Phone: (417) 269-7820
Type: Location
525 Branson Landing Blvd
Branson, MO 656162052
Phone: (417) 335-7372
Type: Location
1000 E PRIMROSE ST STE 550
SPRINGFIELD, MO 658075180
Phone: (417) 269-4646
Type: Location
PO BOX 239
LIMA, OH 458020239
Phone: (877) 221-2742
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240521003252 | I | Pathology | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35173)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | KS | |
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | VA | |
| P A T H O L O G Y | MO | |
| - | MO | |
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | MO |
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