DR. HERBERT ALLEN (M.D.) – Specialist, NPI 1033188487

DR. HERBERT ALLEN (M.D.) is a healthcare provider. based in South hill, Virginia. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 30535 (NC). The NPI Number for DR. HERBERT ALLEN (M.D.) is 1033188487

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. HERBERT ALLEN (M.D.)
NPI
1033188487
Phone
(434) 447-2300
Address
PO BOX 267
Enumeration Date
17 March 2006
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
9195546253
Graduation Year
1986 (40 years ago)
PAC ID
0749477735
Group Practice PAC ID
6800874322
Professional Enrollment ID
I20200807002343
Address ID
NC275876090WA10540RDXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

540 GASTROENTEROLOGY in VA

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Provider Addresses for DR. HERBERT ALLEN (M.D.)

  • PO BOX 267

    SOUTH HILL, VA 239700267

    Phone: (434) 447-2300

    Fax: (434) 447-2377

    Type: Mailing

  • 500, North Thomas Street, South Hill, Mecklenburg County, Virginia, 23970, United States

    SOUTH HILL, VA 239701421

    Phone: (434) 447-2300

    Fax: (434) 447-2377

    Type: Location

  • PO BOX 18563

    RALEIGH, NC 276198563

    Phone: (434) 447-2300

    Fax: (434) 447-2377

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 169 Open Payments records for all available years, with a total value of $3,419.

Total Amount is formed as General ($3,419) + Research ($0) + Ownership ($0) = $3,419.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($993).

Total Amount

$3,419

General + Research + Ownership

Payments

169

Total payment records

General Amount

$3,419

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

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: 2020-08-07

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
I20200807002343IGastroenterologyNCTBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare181180$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9084$0
99213Established patient office or other outpatient visit, 20-29 minutes7155$0
99204New patient office or other outpatient visit, 45-59 minutes6464$0
99214Established patient office or other outpatient visit, 30-39 minutes5946$0
View full utilization report →

Insurance plans in this area (ZIP 23970)

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Provider's Procedures

DR. HERBERT ALLEN (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYVA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope245235
GASTROENTEROLOGYVA45378Diagnostic examination of large bowel using an endoscope124123

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: 6800874322View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NC
Internal MedicineNC
Certified Registered Nurse Anesthetist (Crna)NC
-NC
Nurse PractitionerNC
Physician AssistantWA
Nurse PractitionerNC
-NC
Certified Registered Nurse Anesthetist (Crna)NC
Internal MedicineDC

Reviews

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Frequently asked questions

Can I verify DR. HERBERT ALLEN (M.D.) with an NPI only?
You can start verification with NPI 1033188487 for DR. HERBERT ALLEN (M.D.), then check state licensing separately.
Is DR. HERBERT ALLEN (M.D.) listed as active for patients and plans?
The listing shows DR. HERBERT ALLEN (M.D.) as active in the NPI system.
What is DR. HERBERT ALLEN (M.D.)'s specialty?
The listing groups DR. HERBERT ALLEN (M.D.) with Other Service Providers. Clinical services aligned with this taxonomy classification.
Where should I expect DR. HERBERT ALLEN (M.D.) on a map?
Expect South Hill, Virginia as a primary anchor for DR. HERBERT ALLEN (M.D.) unless the record lists multiple sites.
Why does DR. HERBERT ALLEN (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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