2026 NPPES data Specialist NPI 1679567150 M.D
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KATHRYN HERNDON, M.D

Specialist in GAINESVILLE, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 223 beneficiaries · Specialist avg: 1K

What the federal data shows

KATHRYN HERNDON, M.D filed 2,775 Medicare Part D claims in 2023 as a Specialist in GAINESVILLE, Georgia.

3K
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

KATHRYN HERNDON, M.D's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,775 Top 12% higher than 88% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about KATHRYN HERNDON, M.D?

Quality data not reported

NPI registry status

Active

Issued 09/09/2005

NPI 1679567150

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

2,775 88% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Georgia

How Specialist compares to other specialties among Georgia providers

Georgia providers

Specialist share within Georgia

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Specialist ABMS/AOA estimate

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KATHRYN HERNDON, M.D appears in the CMS NPPES registry as a Specialist provider holding M.D credentials at 530 SPRING ST SE, GAINESVILLE, GA, 30501, with a listed phone of (770) 503-7222. NPI 1679567150 was issued on 09/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERNDON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,775 prescription claims written by this provider, covering 223 Medicare beneficiaries and totaling roughly $114K in drug spend, with an opioid prescribing rate of 31.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

530 SPRING ST SE
GAINESVILLE, GA 30501

Provider Details

NPI 1679567150
Specialty Specialist
Credentials M.D
Gender Female
NPI Issued 09/09/2005

Hospital and facility affiliations

Facilities where KATHRYN HERNDON, M.D bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

GEORGIALINA PHYSICAL THERAPY ASSOCIATES LLC
AUGUSTA, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,775
Total Claims
$114K
Total Drug Cost
223
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,970
Total Day Supply
145,332
Generic Drug Cost
$71K
Opioid Claims
873 (31.5% rate)
Antibiotic Claims
32

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
1.65
Gender Split
68% female / 32% male
Age Distribution
<65: 13, 65-74: 73, 75-84: 105, 85+: 32

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What KATHRYN HERNDON, M.D prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Tramadol Hcl
327
Gabapentin
272
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
196
Duloxetine Hcl
184
Pregabalin
127
Morphine Sulfate Er
Morphine Sulfate
115
Prednisone
110
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
97
Tizanidine Hcl
68
Trazodone Hcl
61

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Specialist Overview

How KATHRYN HERNDON, M.D fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

KATHRYN HERNDON, M.D's 2,775 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as HERNDON.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KATHRYN HERNDON, M.D's specialty?
KATHRYN HERNDON, M.D specializes in Specialist and practices in GAINESVILLE, Georgia. Credentials: M.D.
How much does KATHRYN HERNDON, M.D prescribe under Medicare Part D?
In 2023, KATHRYN HERNDON, M.D wrote 2,775 Medicare Part D claims totaling $114K in drug costs for 223 beneficiaries.
Where is KATHRYN HERNDON, M.D located?
KATHRYN HERNDON, M.D is located at 530 SPRING ST SE, GAINESVILLE, GA, 30501. Phone: (770) 503-7222.
What is KATHRYN HERNDON, M.D's NPI number?
KATHRYN HERNDON, M.D's National Provider Identifier (NPI) is 1679567150, issued on 09/09/2005.
Does KATHRYN HERNDON, M.D prescribe opioids?
Yes, KATHRYN HERNDON, M.D had 873 opioid claims in 2023 with an opioid prescribing rate of 31.5%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does KATHRYN HERNDON, M.D prescribe most often?
Based on 2023 Medicare Part D data, KATHRYN HERNDON, M.D's most frequently prescribed drugs include Tramadol Hcl, Gabapentin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KATHRYN HERNDON, M.D accept Medicare?
KATHRYN HERNDON, M.D appears in CMS Medicare data with 2,775 Part D claims and 223 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KATHRYN HERNDON, M.D's credentials?
KATHRYN HERNDON, M.D's NPI is 1679567150 with credentials M.D. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology