Michael Herron, MD
NPI 1639239825 · Internal Medicine Physician · Warm Springs, GA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Herron, MD is a Internal Medicine Physician provider in Warm Springs, GA (NPI 1639239825).
Provider details
- NPI number
- 1639239825
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 038797 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
117 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 59 | $121 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 34 | $176 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 24 | $8 |
Typical Medicare-allowed amounts for these services range $8–$176 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Naproxen | 56 | 53 |
| Methylprednisolone | 31 | 30 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 24 | 22 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 17 | 16 |
| Tramadol Hcl | 17 | 17 |
| Cephalexin | 15 | 15 |
| Diphenoxylate Hcl/Atropinebrand: Diphenoxylate-Atropine | 12 |
Practice location
Mailing address
Additional practice locations (2)
- 70 Medical Center DrCommerce, GA 30529-1078Phone: (706) 335-1000Fax: (706) 335-7701
- 1501 Richard Stokes DrDecatur, GA 30033Phone: (404) 248-1344
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2024-09-06
- Certified
- 2024-09-06
Frequently asked questions
- What is Michael Herron's NPI number?
- Michael Herron's National Provider Identifier (NPI) is 1639239825, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Herron's specialty?
- Michael Herron is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Herron located?
- Michael Herron's practice location on file with NPPES is 5995 Spring St, Warm Springs, GA 31830-2149.
- What is Michael Herron's phone number?
- The practice phone number listed in the NPPES registry for Michael Herron is (706) 655-3331.
- Does Michael Herron accept Medicare?
- Michael Herron is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Herron's NPI active?
- Yes — Michael Herron's NPI (1639239825) is active in the NPPES registry as of the last update on 2024-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.