Doctor profile · Federal record
Dr. Lawrence Herberholz, MD
Surgery Physician (CMS: General Surgery) · Scottsboro, AL
- NPI 1619977378
- Accepts Medicare
- MIPS 14.5 / 100 · 2023
- 34 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
911 S Broad St
Scottsboro, AL 357682509
(256) 259-0185
fax (256) 259-0317
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- February 6, 2013
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Alabama #23961
- Medicaid (2)
- AL #009990335 · AL #529923150
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619977378. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
555
Distinct HCPCS
10
Medicare allowed
$60,298
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 133 | 104 | $90 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 110 | 110 | $124 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 110 | 92 | $61 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 53 | 53 | $232 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 46 | 42 | $74 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 30 | 30 | $164 | |
45384 |
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 20 | 20 | $99 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | 15 | $163 | |
43249 |
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 14 | 12 | $123 | |
45381 |
Injection beneath lining of large bowel using a flexible endoscope | 13 | 13 | $28 |
In context: peer comparison
Among 1 peers in Scottsboro Surgery Physician, average services per provider: 50. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$137
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kerecis Limited | 3 | $74.20 | |
| Smith+Nephew, INC. | 1 | $27.68 | |
| Ethicon US, LLC | 1 | $21.39 | |
| Hologic Sales and Service, LLC | 1 | $13.86 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
314
Patients
197
Total drug cost
$7,462
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 99 | 73 | $730 |
| Sucralfate | Generic | 52 | 36 | $5,307 |
| Ondansetron Hcl | Generic | 47 | 44 | $524 |
| Pantoprazole Sodium | Generic | 41 | 20 | $310 |
| Cephalexin | Generic | 25 | 24 | $150 |
| Metoclopramide Hcl | Generic | 16 | 0 | $93 |
| Ondansetron Odt (Ondansetron) | Brand | 12 | 0 | $138 |
| Doxycycline Hyclate | Generic | 11 | 0 | $125 |
| Famotidine | Generic | 11 | 0 | $84 |
Frequently asked questions
What is Dr. Lawrence Herberholz's medical specialty?
Dr. Lawrence Herberholz practices Surgery Physician in Scottsboro, AL.
Where does Dr. Lawrence Herberholz practice?
Dr. Lawrence Herberholz practices at 911 S Broad St, Scottsboro, AL 357682509. Office phone: 2562590185.
What is Dr. Lawrence Herberholz's NPI?
Dr. Lawrence Herberholz's National Provider Identifier (NPI) is 1619977378, issued by NPPES.
Does Dr. Lawrence Herberholz accept Medicare assignment?
Yes. Dr. Lawrence Herberholz accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lawrence Herberholz commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.