DR. MICHAEL ANTHONY HERRON (MD) – Internal Medicine Physician, NPI 1639239825
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MICHAEL ANTHONY HERRON (MD)
1501 RICHARD STOKES DR
DECATUR, GA 30033
Phone: (404) 248-1344
Type: Location
861, Southwest 78th Avenue, Plantation, Broward County, Florida, 33324, United States
SUITE # 100-B
PLANTATION, FL 333243273
Phone: (954) 693-0000
Type: Mailing
1501 Richard Stokes Dr
Decatur, GA 30033
Phone: (404) 248-1344
Type: Location
70 Medical Center Dr
Commerce, GA 305291078
Phone: (706) 335-1000
Fax: (706) 335-7701
Type: Location
200 CORPORATE BLVD STE 100B
LAFAYETTE, LA 705083870
Phone: (800) 893-9698
Type: Mailing
5995 SPRING ST
WARM SPRINGS, GA 318302149
Phone: (706) 655-3331
Fax: (706) 655-9211
Type: Location
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: 2004-05-05
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 |
|---|---|---|---|---|
| I20040505000430 | I | Emergency Medicine | GA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 65 | 53 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 29 | 24 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 15 | 14 | $0 |
Insurance plans in this area (ZIP 30033)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | GA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 21 | 18 |
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