HALEY HERNDON (PA-C) – Physician Assistant, NPI 1508320078
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
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Provider Addresses for HALEY HERNDON (PA-C)
839 ISAAC SHELBY CIR E
FRANKFORT, KY 406018801
Phone: (270) 804-6205
Type: Mailing
Eastern State Hospital, 1350, Bull Lea Road, Lexington, Fayette County, Kentucky, 40511, United States
LEXINGTON, KY 405111247
Phone: (859) 246-7000
Type: Location
5050 VILLAGE SQUARE DR STE B
PADUCAH, KY 420017552
Phone: (270) 534-5128
Fax: (270) 477-0007
Type: Mailing
2327 NEW HOLT RD
PADUCAH, KY 420017404
Phone: (270) 534-5128
Fax: (270) 477-0007
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 104 Open Payments records for all available years, with a total value of $1,968.
Total Amount is formed as General ($1,968) + Research ($0) + Ownership ($0) = $1,968.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($549).
Total Amount
$1,968
General + Research + Ownership
Payments
104
Total payment records
General Amount
$1,968
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $549 |
| Otsuka America Pharmaceutical, Inc. | $268 |
| Axsome Therapeutics, Inc. | $239 |
| ABBVIE INC. | $223 |
| Alkermes, Inc. | $151 |
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: 2019-04-15
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 |
|---|---|---|---|---|
| I20190415000303 | I | Physician Assistant | KY | 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 40601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | KY | |
| Clinical Social Worker | KY | |
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| P S Y C H I A T R Y | KY | |
| Clinical Social Worker | KY | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY | |
| Physician Assistant | TN | |
| Clinical Social Worker | KY |
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