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LEAH CARA HERBST DO
NPI 1104358506
Internal Medicine - Hospice and Palliative Medicine in Pittsburgh, PA

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4815 LIBERTY AVE STE 160, PITTSBURGH, PA 15224(412) 578-6808(412) 688-7517 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 29, 2023, Jun 2, 2021 (2 updates tracked since 2021).

About Leah Cara Herbst Do NPPES

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

LEAH CARA HERBST DO (NPI 1104358506) is an individual hospice and palliative medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OS022912) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1104358506
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameLEAH CARA HERBSTCredential: DO
Location Address4815 LIBERTY AVE STE 160Pittsburgh, PA 15224-2156
Mailing Address4815 Liberty Ave Ste 160Pittsburgh, PA 15224-2156 · (412) 578-6808 · Fax (412) 688-7517
Phone(412) 578-6808
Fax(412) 688-7517
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1104358506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in PA · OS022912
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4815 LIBERTY AVE STE 160, Pittsburgh, PA 15224
Open in Google Maps ↗

Other Names 1

Former Name (1)Leah Spungen

Secondary Practice Location 1

Location 1100 N Academy AveDanville, PA 17822-9800 · Phone (570) 271-6211

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

Leah Cara Herbst Do 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 ID7315344249
PECOS Enrollment IDI20230911003681
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Leah Herbst reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
Same address
Surgery
4815 LIBERTY AVE STE 215
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1013240860 (412) 235-5900
Montefiore Medical Center
315 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331

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 5

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
91 services45 patients
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.
79 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services60 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
25 services20 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

LEANNE MARIE PALKO-GRIEGGS CRNP
Nurse Practitioner (Family)
4815 LIBERTY AVE STE 160
PITTSBURGH, PA 15224
Allegheny County (412) 578-6808
MISS ELISE LYNN BIOLSI DNP
Nurse Practitioner (Family)
4815 LIBERTY AVE STE 160
PITTSBURGH, PA 15224
Allegheny County (412) 578-6808

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 Leah Herbst's NPI number?

The NPI number for Leah Herbst is 1104358506. It was assigned to this individual provider in the NPPES registry on April 3, 2017. The provider is also known as Leah Spungen.

Where is Leah Herbst located?

Leah Herbst practices at 4815 Liberty Ave Ste 160, Pittsburgh, PA 15224. The listed phone number is (412) 578-6808.

What is Leah Herbst's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Leah Herbst enrolled in Medicare?

Yes. Leah Herbst 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 Leah Herbst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Herbst reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Pittsburgh, PA) and Montefiore Medical Center (New York, NY). 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 Leah Herbst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Leah Herbst affiliated with any hospitals?

According to CMS data, Leah Herbst is affiliated with Allegheny General Hospital.

When was this NPI record last updated?

The NPPES record for Leah Herbst was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.