Physician

Garth S Herbert, MD

According to 2025 Medicare claims, Garth Herbert, MD (NPI: 1073583548) practices surgical oncology in the Raleigh-Cary, NC market, with the plurality of this provider's patient population coming from Wake, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27609-7317. Herbert is affiliated with the Duke Connected Care, LLC (ACO ID: A2419), participating under the MSSP model.

Herbert's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 138 traditional Medicare patients, billed 310 HCPCS/CPT codes, and received $39,957 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 78 prescription claims across 37 beneficiaries totaling $54,895 in drug costs, led by Creon (Lipase/Protease/Amylase). 2017 DME data shows 14 claims. Open Payments data shows 1 records totaling $129. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $195 to $54,895. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.