DR. SALLY HERSCHORN (MD) – Diagnostic Radiology Physician, NPI 1013934835

DR. SALLY HERSCHORN (MD) is a healthcare provider. based in Burlington, Vermont. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 0420007509 (VT). The NPI Number for DR. SALLY HERSCHORN (MD) is 1013934835

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. SALLY HERSCHORN (MD)
NPI
1013934835
Phone
(802) 847-3592
Address
111 COLCHESTER AVE
Enumeration Date
16 July 2006
Last Update Date
14 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8023884701
Graduation Year
1982 (44 years ago)
PAC ID
1355442153
Group Practice PAC ID
1850365180
Professional Enrollment ID
I20070724000268
Address ID
VT057538423MI115XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

106 DIAGNOSTIC RADIOLOGY in VT

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Provider Addresses for DR. SALLY HERSCHORN (MD)

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054011473

    Phone: (802) 847-3592

    Fax: (802) 847-4822

    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)

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: 2007-07-24

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
I20070724000268IDiagnostic RadiologyVTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography1,1011,101$0
77063Screening 3d breast mammography1,0961,096$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)115113$0
76641Complete ultrasound scan of 1 breast102102$0
77065Diagnostic mammography of 1 breast6866$0
View full utilization report →

Insurance plans in this area (ZIP 05401)

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Provider's Procedures

DR. SALLY HERSCHORN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYVT71010X-ray of chest, 1 view, front151138

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850365180View full group profile
NameSpecialtyState
-VT
Internal Medicine, HospitalistVT
-NY
Family PracticeVT
Family PracticeVT
Internal MedicineVT
Physician AssistantVT
Nurse PractitionerVT
Hospice/Palliative CareNH
A N E S T H E S I O L O G YNY

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SALLY HERSCHORN (MD)?
NPI 1013934835 is assigned to DR. SALLY HERSCHORN (MD) under the national enumeration system.
Does this profile mean DR. SALLY HERSCHORN (MD) is currently active?
Yes — DR. SALLY HERSCHORN (MD) appears active in the national provider directory.
Does DR. SALLY HERSCHORN (MD) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. SALLY HERSCHORN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SALLY HERSCHORN (MD)?
The page summarizes Burlington, Vermont for DR. SALLY HERSCHORN (MD); expand the address list for detail.
What if Burlington, Vermont seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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