DR. ADAM HEROLD OD
NPI 1043268022
Optometrist in Richmond, VA
About Dr. Adam Herold Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADAM HEROLD OD (NPI 1043268022) is an individual optometrist in Richmond, Virginia, licensed in Virginia (0618000230) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Adam Herold Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Adam Herold reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, VA 23230
- Reassigned Medicare billing, Virginia enrollment
- 2 clinicians in this Medicare group
Richmond, VA 23236
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Lebow Eye Associates PC
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHMOND, VA 23230
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Adam Herold's NPI number?
The NPI number for Adam Herold is 1043268022. It was assigned to this individual provider in the NPPES registry on May 4, 2006.
Where is Adam Herold located?
Adam Herold practices at 5000 Bakers Mill Ln Ste 170, Richmond, VA 23230. The listed phone number is (804) 359-0770.
What is Adam Herold's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Adam Herold enrolled in Medicare?
Yes. Adam Herold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Adam Herold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Herold reassigns Medicare benefits to 2 organizations: Capital Eye Care, Doctors Of Optometry, PC (Richmond, VA) and Lebow Eye Associates, P.C. (Richmond, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Herold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adam Herold accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Adam Herold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Adam Herold was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.