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Dr. Virginia L Herbert , MD, FACS

Surgery โ€ข Gloucester, VA

Active NPI 1720047558 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

7554 Hospital Dr Ste D-303
Gloucester, VA 230614178

Call 8046933400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7554 Hospital Dr Ste D-303

Gloucester, VA 230614178

Telephone 8046933400
Organization at the Same NPPES Address or Phone
Melvin W Ressler, Md Surgeon Pc T/a Gloucester Surgery Facility NPI 1578745550

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Miramar, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Vicksburg Healthcare Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1994

Medicare patients

162 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $17,790 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $14,260 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

46 standardized 30-day fills in 2013

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,773 in 2013

The total cost of these prescriptions in 2013, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2013.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

32 years (graduated 1994)

CMS Doctors and Clinicians data list 1994 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Herbert has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Herbert as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gloucester and Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Surgery in Virginia (2024, 430 clinicians with data). Median for this group: 235. Middle half: 111 to 391.

Too few clinicians listed under Surgery in Gloucester have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Surgery in Virginia (2024, 430 clinicians with data). Median for this group: $30,215. Middle half: $12,133 to $59,476.

Too few clinicians listed under Surgery in Gloucester have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Surgery in Virginia (2024, 430 clinicians with data). Median for this group: $23,123. Middle half: $9,101 to $46,099.

Too few clinicians listed under Surgery in Gloucester have Medicare Part B data for 2024 to compare.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Herbert are from 2013.

4 active clinicians are listed under Surgery with a practice address in Gloucester, VA (865 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2013), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
44 38 $103.00 $50.09
99238 Hospital discharge day management, 30 minutes or less
12 12 $279.50 $82.74
99283 Emergency department visit with low level of medical decision making
12 12 $268.00 $71.93

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2013.

CMS Part D ยท Data Year 2013
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Halflytely-Bisacodyl Bisac/Nacl/Nahco3/Kcl/Peg 3350 21 21 $1,428.53 21
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 14 78 $114.80 โ€”
Oxycodone Hcl-Acetaminophen Oxycodone Hcl/Acetaminophen 11 81 $230.10 11

Source: CMS Part D by Provider and Drug, 2013; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-06-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
30209202 (NH)
Medicaid ID
1017051 (VT)
Other Identifier Bcbs
1720047558 (VT)
Other Identifier Mvp
3012207 (NH)
Other Identifier Harvard Pilgrim
AA163726 (NH)
Other Identifier Anthem
1720047558 (NH)
Other Identifier State License
14767 (NH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20250919002469

Enrollment State Jurisdiction

MS

PECOS Control ID

6002800984

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1457745143
NPI 1558359836

Doctor of Medicine (M.D.)

NPI 1033325709

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Business Mailing Address June 30, 2020

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

๐Ÿ‘ค
Provider Name / Credentials Updated June 30, 2020

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

๐Ÿ“
Updated Practice Location May 10, 2019

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

โœ…
NPI Profile Active July 28, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 28, 2014

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

๐Ÿ“
Business Mailing Address (Initial Record) July 28, 2014

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 28, 2014

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

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2014

Family Medicine (license number reported to NPPES: NH 14767)

๐ŸŸข
Initial NPI Registration & Enumeration March 21, 2006

First registered as active Individual Practitioner in NPPES Database.

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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

Other Surgery Specialists in Gloucester

Mailing Address

13 Guyer St

Lebanon, NH 037661210

Phone: 6037272026

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.