Active NPI 1073583548 Individual Practitioner Male Practitioner

Dr. Garth S Herbert , MD

Surgery • Raleigh, NC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Garth Herbert, MD is a certified Surgery practicing in Raleigh, NC. With approximately 23 years of clinical experience since graduating from Yale University School Of Medicine in 2003, Dr. Herbert delivers high-quality medical care to the local community at 3404 WAKE FOREST ROAD.

Dr. Herbert is affiliated with Duke Health Integrated Practice Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3404 Wake Forest Road
Suite 303

Raleigh, NC 276097341

Telephone 9196841022

Fax 9198625483

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Raleigh, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +0.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

85 Specialists

Practicing in Raleigh, NC (1222 Statewide)

Telehealth Adoption Rate

16.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herbert (23 Years) 23 Yrs

Raleigh Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	72	$255.00	$90.44
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	29	22	$61.00	$15.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$393.85	$120.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$490.00	$169.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	14	$174.00	$73.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	46	$255.00	$92.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$390.00	$126.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	17	$108.00	$47.24
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$172.00	$58.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$174.00	$75.46
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$243.00	$78.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$490.00	$171.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	38	$172.00	$64.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	17	$108.00	$37.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	20	$255.00	$95.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$391.92	$127.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$492.71	$177.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	86	41	$108.00	$34.10
99213 Established patient office or other outpatient visit, typically 15 minutes	56	32	$172.00	$66.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$390.00	$133.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	18	$174.00	$69.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$255.00	$97.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$255.00	$81.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	134	57	$108.00	$38.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	17	$174.00	$72.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	17	$260.00	$78.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$390.00	$128.90
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$172.00	$51.13
99238 Hospital discharge day management, 30 minutes or less	11	11	$175.82	$65.76

Medical Specialties & State Licenses

CMS Verified: 2022-12-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NE 23037

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Duke Health Integrated Practice Inc

3400 Wake Forest Rd, Raleigh, NC 276097317

Phone: 9196204855

Duke Health Integrated Practice Inc

40 Duke Medicine Cir, Durham, NC 277104000

Phone: 9196848111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Kelly Duewer , PA

Physician Assistant

NPI 1649388935

Physician Assistant

Dr. Ioana Antonescu , MD

Surgery - Surgical Critical Care

NPI 1952768343

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location December 09, 2022

Registered at 3404 WAKE FOREST ROAD, SUITE 303, RALEIGH, NC 276097341 (Tel: 9196841022)

📍

Updated Business Mailing Address December 09, 2022

Registered at 3404 WAKE FOREST ROAD, SUITE 303, RALEIGH, NC 276097341 (Tel: 9196841022)

✅

NPI Profile Active September 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2013

Registered at 1275 YORK AVE, DEPT. OF SURGERY, MEMORIAL SLOAN-KETTERING CANCER CENTE, NEW YORK, NY 100656007 (Tel: 2126397537)

📍

Updated Business Mailing Address September 12, 2013

Registered at 504 E 63RD ST, APT 17L, NEW YORK, NY 100657919 (Tel: 6466882367)

👤

Provider Name / Credentials Updated September 12, 2013

Recorded as GARTH HERBERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2013

Surgery (License #23037 in NE)

🟢

Initial NPI Registration & Enumeration January 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073583548

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 25, 2006

Last Update: December 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3404 Wake Forest Road, Suite 303

Raleigh, NC 276097341

Phone: 9196841022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.