LAWRENCE J HERBERHOLZ (MD) – Surgery Physician, NPI 1619977378
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
523 GENERAL SURGERY in AL
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Provider Addresses for LAWRENCE J HERBERHOLZ (MD)
South Broad Street, Scottsboro, Jackson County, Alabama, 35769, United States
SCOTTSBORO, AL 357682509
Phone: (256) 259-0185
Fax: (256) 259-0317
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $313.
Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Kerecis Limited ($226).
Total Amount
$313
General + Research + Ownership
Payments
8
Total payment records
General Amount
$313
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $226 |
| Smith+Nephew, Inc. | $28 |
| CONMED Corporation | $23 |
| Ethicon US, LLC | $21 |
| Hologic Sales and Service, LLC | $14 |
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: 2004-11-22
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 |
|---|---|---|---|---|
| I20041122000765 | I | General Surgery | AL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 133 | 104 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 110 | 92 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 110 | 110 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 53 | 53 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 46 | 42 | $0 |
Insurance plans in this area (ZIP 35768)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Family Practice | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Family Practice | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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