KACY J HERRON (MD) – Family Medicine Physician, NPI 1114306644
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
969 FAMILY PRACTICE in ID
Provider Addresses for KACY J HERRON (MD)
777 N Raymond St
Boise, ID 837049251
Phone: (208) 514-2500
Fax: (208) 375-2217
Type: Location
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone:
Type: Mailing
1401 MADISON ST STE 100
SEATTLE, WA 98104
Phone: (206) 386-6111
Fax: (206) 386-6113
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-01-29 • Largest payer in this snapshot: PFIZER INC. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $23 |
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: 2019-08-28
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 |
|---|---|---|---|---|
| I20190828001544 | I | Family Practice | AK | 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 | 164 | 95 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 120 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 68 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 87 | 70 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 59 | 54 | $0 |
Insurance plans in this area (ZIP 83704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AK | |
| - | AK | |
| - | AK | |
| - | AK | |
| Family Practice | OR | |
| Family Practice | AK | |
| Nurse Practitioner | AK | |
| Nurse Practitioner | AK | |
| Nurse Practitioner | AK | |
| Family Practice | AK |
Reviews
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