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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DANIEL GUSTAVO HERRERA MD, PH.D.
NPI 1063546844
Psychiatry & Neurology - Psychiatry in San Benito, TX

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
400 US-77 BUS, SAN BENITO, TX 78586(956) 626-3566(956) 626-3567 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 3, 2026, Jul 20, 2026, Jan 13, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Daniel Gustavo Herrera Md, Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL GUSTAVO HERRERA MD, PH.D. (NPI 1063546844) is an individual psychiatry provider in San Benito, Texas, licensed in Texas (R9498) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Edinburg, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1063546844
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DANIEL GUSTAVO HERRERACredential: MD, PH.D.
Location Address400 US-77 BUSSan Benito, TX 78586
Mailing AddressPo Box 277San Benito, TX 78586-0003 · (956) 626-3566 · Fax (956) 626-3567
Phone(956) 626-3566
Fax(956) 626-3567
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1063546844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · R9498
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
400 US-77 BUS, San Benito, TX 78586
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Secondary Practice Location 1

Location 15510 Raphael DrEdinburg, TX 78539-1407 · Phone (956) 362-4357

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Gustavo Herrera Md, Ph.d. 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.

PECOS PAC ID2567558802
PECOS Enrollment IDI20200103000647
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
464 services95 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
86 services66 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
84 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78586 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEXAS NEUROPSYCHIATRY MD PA
Psychiatry & Neurology (Psychiatry)
400 US-77 BUS
SAN BENITO, TX 78586
Cameron County (956) 626-3566

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 Daniel Herrera's NPI number?

The NPI number for Daniel Herrera is 1063546844. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Daniel Herrera located?

Daniel Herrera practices at 400 Us-77 Bus, San Benito, TX 78586. The listed phone number is (956) 626-3566.

What is Daniel Herrera's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Daniel Herrera enrolled in Medicare?

Yes. Daniel Herrera 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.

What insurance does Daniel Herrera accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Daniel Herrera 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 Daniel Herrera was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.