Lawrence Herberholz, MD
NPI 1619977378 · Surgery Physician · Scottsboro, AL
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lawrence Herberholz, MD is a Surgery Physician provider in Scottsboro, AL (NPI 1619977378).
Provider details
- NPI number
- 1619977378
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23961 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
414 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 75 | $81 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 66 | $112 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 66 | $55 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 53 | $62 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 42 | $190 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 78 | 67 |
| Ondansetron Hcl | 67 | 62 |
| Sucralfate | 51 | 41 |
| Cephalexin | 37 | 33 |
| Pantoprazole Sodium | 35 | 22 |
| Doxycycline Hyclate | 20 | 16 |
| Famotidine | 14 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$137 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-26
- Last updated
- 2013-02-06
Frequently asked questions
- What is Lawrence Herberholz's NPI number?
- Lawrence Herberholz's National Provider Identifier (NPI) is 1619977378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lawrence Herberholz's specialty?
- Lawrence Herberholz is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lawrence Herberholz located?
- Lawrence Herberholz's practice location on file with NPPES is 911 S Broad St, Scottsboro, AL 35768-2509.
- What is Lawrence Herberholz's phone number?
- The practice phone number listed in the NPPES registry for Lawrence Herberholz is (256) 259-0185.
- Does Lawrence Herberholz accept Medicare?
- Lawrence Herberholz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lawrence Herberholz's NPI active?
- Yes — Lawrence Herberholz's NPI (1619977378) is active in the NPPES registry as of the last update on 2013-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.