Active NPI 1336150226 Individual Practitioner Male Practitioner

Dr. William Lee Hereford , MD

Specialist • Staunton, VA

Professional Overview & Biography Verified Profile Summary

Dr. William Hereford, MD is a registered healthcare professional specializing in Specialist in Staunton, VA. Practice services are available at 108 MACTANLY PL under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

108 Mactanly Pl

Staunton, VA 244012373

Telephone 5408851281

Fax 5402132208

Associated Practice Facility / Clinic

🏢 Orthopedic Associates Ltd. Facility NPI 1134728975

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Staunton, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 38.0 Yrs

State Avg: 37.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Staunton, VA (878 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

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	150	94	$201.00	$108.35
73564 X-ray of knee, 4 or more views	50	39	$143.40	$43.92
20610 Aspiration and/or injection of fluid from large joint	40	26	$220.00	$63.04
73502 X-ray of hip, 2-3 views	32	20	$149.70	$38.98
J1040 Injection, methylprednisolone acetate, 80 mg	29	25	$48.00	$11.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$201.00	$108.24
73030 X-ray of shoulder, minimum of 2 views	19	13	$106.20	$33.19

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	518	258	$201.00	$107.79
20610 Aspiration and/or injection of fluid from large joint	178	105	$220.00	$60.50
J1040 Injection, methylprednisolone acetate, 80 mg	167	119	$48.00	$12.15
73564 X-ray of knee, 4 or more views	131	97	$143.40	$40.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$201.00	$108.45
73030 X-ray of shoulder, minimum of 2 views	93	57	$106.20	$29.95
73502 X-ray of hip, 2-3 views	86	64	$149.70	$40.61
72100 X-ray of lower and sacral spine, 2-3 views	54	51	$126.80	$36.58
99213 Established patient office or other outpatient visit, typically 15 minutes	44	43	$136.00	$72.29
73610 X-ray of ankle, minimum of 3 views	36	17	$113.90	$31.31
73560 X-ray of knee, 1-2 views	26	20	$112.60	$29.54
73110 X-ray of wrist, minimum of 3 views	23	14	$126.70	$36.54
73130 X-ray of hand, minimum of 3 views	19	16	$115.20	$33.35
73630 X-ray of foot, minimum of 3 views	16	14	$106.20	$31.24
20600 Aspiration and/or injection of fluid from small joint	16	14	$175.60	$45.95
73140 X-ray of finger, minimum of 2 views	13	11	$116.40	$33.68

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	561	275	$177.56	$102.00
73564 X-ray of knee, 4 or more views	183	103	$123.58	$37.91
20610 Aspiration and/or injection of fluid from large joint	179	96	$159.39	$57.97
J1040 Injection, methylprednisolone acetate, 80 mg	167	114	$24.36	$12.86
73502 X-ray of hip, 2-3 views	124	66	$114.80	$32.65
99213 Established patient office or other outpatient visit, typically 15 minutes	113	94	$135.00	$70.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$173.38	$104.15
73030 X-ray of shoulder, minimum of 2 views	80	54	$82.29	$27.71
72100 X-ray of lower and sacral spine, 2-3 views	57	55	$105.17	$32.61
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	55	15	$349.56	$147.16
73110 X-ray of wrist, minimum of 3 views	50	23	$82.24	$33.09
73610 X-ray of ankle, minimum of 3 views	36	20	$87.41	$29.04
73130 X-ray of hand, minimum of 3 views	29	24	$90.21	$30.64
73560 X-ray of knee, 1-2 views	27	22	$91.67	$29.85
73630 X-ray of foot, minimum of 3 views	24	23	$86.77	$27.43
20600 Aspiration and/or injection of fluid from small joint	15	13	$105.04	$46.85
27447 Replacement of knee joint, both sides of knee	15	15	$4359.49	$1324.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$410.80	$131.92
20605 Aspiration and/or injection of medium joint or joint capsule	15	14	$148.20	$49.08
73080 X-ray of elbow, minimum of 3 views	13	11	$89.45	$30.29

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	585	292	$160.00	$101.90
20610 Aspiration and/or injection of fluid from large joint	223	120	$150.00	$57.76
J1040 Injection, methylprednisolone acetate, 80 mg	185	132	$20.00	$10.85
73502 X-ray of hip, 2-3 views	152	87	$110.00	$36.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	144	144	$160.00	$103.35
73564 X-ray of knee, 4 or more views	129	96	$120.00	$37.32
99213 Established patient office or other outpatient visit, typically 15 minutes	115	95	$125.00	$68.98
72100 X-ray of lower and sacral spine, 2-3 views	79	71	$100.00	$33.53
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	76	24	$330.00	$152.22
73030 X-ray of shoulder, minimum of 2 views	72	60	$80.00	$26.46
73560 X-ray of knee, 1-2 views	70	45	$89.00	$27.50
73610 X-ray of ankle, minimum of 3 views	51	29	$85.00	$30.05
73110 X-ray of wrist, minimum of 3 views	36	20	$75.00	$33.80
73630 X-ray of foot, minimum of 3 views	26	19	$85.00	$27.67
73130 X-ray of hand, minimum of 3 views	24	19	$85.00	$29.40
73600 X-ray of ankle, 2 views	21	12	$62.86	$25.48
73140 X-ray of finger, minimum of 2 views	20	14	$60.00	$28.91
20605 Aspiration and/or injection of medium joint or joint capsule	16	11	$135.00	$48.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$450.00	$131.12
20600 Aspiration and/or injection of fluid from small joint	15	11	$100.00	$44.51
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$350.00	$97.05
27447 Replacement of knee joint, both sides of knee	13	12	$4523.08	$1363.72

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101043705

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

006410065 (VI)

Commercial Insurance / Payer ID Anthem

236749 (VA)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. George Godette , MD

Specialist

NPI 1164487492

Doctor of Medicine (M.D.)

Dr. Clara Wheeler , MD

Specialist

NPI 1649460759

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 108 MACTANLY PL, STAUNTON, VA 244012373 (Tel: 5408851281)

📍

Updated Business Mailing Address July 08, 2007

Registered at 108 MACTANLY PL, STAUNTON, VA 244012373 (Tel: 5408851281)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM HEREFORD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #0101043705 in VA)

🟢

Initial NPI Registration & Enumeration August 10, 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: 1336150226

Entity Type:

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

Enumeration Date: August 10, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

108 Mactanly Pl

Staunton, VA 244012373

Phone: 5408851281

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.