GEORGE HERRON (M.D.) – Nephrology Physician, NPI 1144217654

GEORGE HERRON (M.D.) is a healthcare provider. based in Stockton, California. specializing in Nephrology Physician. They hold the professional credentials M.D.. They hold a License No. G10082 (CA). The NPI Number for GEORGE HERRON (M.D.) is 1144217654

Main info

Male
63 Years Of Experience
Name
GEORGE HERRON (M.D.)
NPI
1144217654
Phone
(209) 465-5107
Address
1610 N EL DORADO ST
Enumeration Date
29 September 2005
Last Update Date
30 May 2008

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2094655107
Graduation Year
1963 (63 years ago)
PAC ID
1456415892
Professional Enrollment ID
I20090129000180
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GEORGE HERRON (M.D.)

  • 1610, North El Dorado Street, Stockton, San Joaquin County, California, 95202, United States

    SUITE 17

    STOCKTON, CA 952045930

    Phone: (209) 465-5107

    Fax: (209) 465-7653

    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 15 Open Payments records for all available years, with a total value of $302.

Total Amount is formed as General ($302) + Research ($0) + Ownership ($0) = $302.

Last reported payment date: 2024-04-08 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($137).

Total Amount

$302

General + Research + Ownership

Payments

15

Total payment records

General Amount

$302

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-01-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090129000180INephrologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 95204)

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Reviews

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Frequently asked questions

What number should I use to identify GEORGE HERRON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1144217654 for GEORGE HERRON (M.D.).
Is GEORGE HERRON (M.D.)'s NPI status active today?
Active status means GEORGE HERRON (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret GEORGE HERRON (M.D.)'s specialty?
The extract shows Nephrology Physician for GEORGE HERRON (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to GEORGE HERRON (M.D.)?
GEORGE HERRON (M.D.) is associated with Stockton, California in the same public data insurers reference.
Who maintains GEORGE HERRON (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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