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Active NPI 1720047558 Individual Practitioner Female Practitioner

Dr. Virginia L Herbert , MD, FACS

Surgery • Gloucester, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Virginia Herbert, MD, FACS is a certified Surgery practicing in Gloucester, VA. With approximately 32 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1994, Dr. Herbert delivers high-quality medical care to the local community at 7554 HOSPITAL DR STE D-303.

Dr. Herbert is affiliated with Vicksburg Healthcare Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7554 Hospital Dr Ste D-303

Gloucester, VA 230614178

Telephone 8046933400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Gloucester, VA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +10.0 yrs vs City Avg
City Avg: 22.0 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Gloucester, VA (909 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herbert (32 Years) 32 Yrs
Gloucester Specialty Average (22.0 Years) 22.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
92 61 $179.63 $80.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
48 48 $397.02 $132.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes
44 38 $103.00 $50.09
99283 Emergency department visit with low level of medical decision making
12 12 $268.00 $71.93
99238 Hospital discharge day management, 30 minutes or less
12 12 $279.50 $82.74

Medical Specialties & State Licenses

CMS Verified: 2020-06-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101256109

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.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License NH 14767

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Surgery

NUCC Taxonomy Code: 208600000X

State License NH 14767

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX M3015

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30209202 (NH)
Medicaid State Provider ID
1017051 (VT)
Commercial Insurance / Payer ID Bcbs
1720047558 (VT)
Commercial Insurance / Payer ID Mvp
3012207 (NH)
Commercial Insurance / Payer ID Harvard Pilgrim
AA163726 (NH)
Commercial Insurance / Payer ID Anthem
1720047558 (NH)
Commercial Insurance / Payer ID State License
14767 (NH)

Hospital & Practice Group Affiliations

Vicksburg Healthcare Llc

2100 Hwy 61 N, Vicksburg, MS 391838211

Phone: 6018835001

Secondary Practice Locations

3601 Sw 160th Ave, Suite 250

Miramar, FL 330276308

Phone: 9543994642

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1033325709

Doctor of Medicine (M.D.)

NPI 1457745143
NPI 1558359836

Doctor of Medicine (M.D.)

Lauren Bastian , FNP-BC

Nurse Practitioner - Family

NPI 1891643235

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address June 30, 2020

Registered at 13 GUYER ST, LEBANON, NH 037661210 (Tel: 6037272026)

👤
Provider Name / Credentials Updated June 30, 2020

Recorded as VIRGINIA HERBERT, M.D, F.A.C.S.

📍
Updated Practice Location May 10, 2019

Registered at 7554 HOSPITAL DR STE D-303, GLOUCESTER, VA 230614178 (Tel: 8046933400)

NPI Profile Active July 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2014

Registered at 3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 330276308 (Tel: 9543994642)

📍
Updated Business Mailing Address July 28, 2014

Registered at 125 MASCOMA ST, LEBANON, NH 037662647 (Tel: 6034483121)

👤
Provider Name / Credentials Updated July 28, 2014

Recorded as VIRGINIA MCDOUGALL, M.D, F.A.C.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2014

Family Medicine (License #14767 in NH)

🟢
Initial NPI Registration & Enumeration March 21, 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: 1720047558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2006
Last Update: June 30, 2020
Sole Proprietor: No

Mailing Address

13 Guyer St

Lebanon, NH 037661210

Phone: 6037272026

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.