EDWARD EVERETT HEROLD MD
NPI 1154371177
Anesthesiology in Santa Cruz, CA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
61.16/100
CMS Quality Rating
1555 SOQUEL DR, SANTA CRUZ, CA 95065(831) 462-7700 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edward Everett Herold Md NPPES

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

EDWARD EVERETT HEROLD MD (NPI 1154371177) is an individual anesthesiology provider in Santa Cruz, California, licensed in California (G79072) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1992).

NPPES Registry Identity

NPI1154371177
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameEDWARD EVERETT HEROLDCredential: MD
Location Address1555 SOQUEL DRSanta Cruz, CA 95065-1705
Mailing AddressPo Box 49168San Jose, CA 95161-9168 · (503) 372-2740 · Fax (503) 372-2754
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1992
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 7, 2011
✔ NPI 1154371177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · G79072
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License G79072 (CA)
1555 SOQUEL DR, Santa Cruz, CA 95065

Other Identifiers 3

Medicare UPINF83271
Medicaid00G790720CA
Medicare ID-Type Unspecified00G790720CA

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

Edward Everett Herold Md 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 ID2365523297
PECOS Enrollment IDI20080117000280
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

6

Medicare enrollment records show Edward Herold reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
75 NEILSON ST
Watsonville, CA 95076
  • Reassigned Medicare billing, California enrollment
  • 44 clinicians in this Medicare group
Anesthesiology
2425 SAMARITAN DR
San Jose, CA 95124
  • Reassigned Medicare billing, California enrollment
  • 833 clinicians in this Medicare group
Clinic/Center
18550 DE PAUL DR
Morgan Hill, CA 95037
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Anesthesiology
6001 NORRIS CANYON RD
San Ramon, CA 94583
  • Reassigned Medicare billing, California enrollment
  • 176 clinicians in this Medicare group
Anesthesiology
3291 LOMA VISTA RD
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 29 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.

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.

61.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50.6
Improvement Activities40

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%38 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Registered Nurse (Psychiatric/Mental Health, Adult)
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Emergency Medicine
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Student in an Organized Health Care Education/Training Program
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Student in an Organized Health Care Education/Training Program
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Emergency Medicine
1555 SOQUEL DR, DOMINICAN HOSPITAL EMERGENCY DEPT
SANTA CRUZ, CA 95065
Perfusionist
1555 SOQUEL DR
SANTA CRUZ, CA 95065
Nurse Practitioner
1555 SOQUEL DR
SANTA CRUZ, CA 95065

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 Edward Herold's NPI number?

The NPI number for Edward Herold is 1154371177. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Edward Herold located?

Edward Herold practices at 1555 Soquel Dr, Santa Cruz, CA 95065. The listed phone number is (831) 462-7700.

What is Edward Herold's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Edward Herold enrolled in Medicare?

Yes. Edward 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 Edward Herold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Herold reassigns Medicare benefits to 6 organizations: Lifelinc Anesthesia Vi PC (Watsonville, CA), Cep America - Anesthesia PC (San Jose, CA), County Of Santa Clara (Morgan Hill, CA), Permanente Medical Group Inc (Santa Clara, CA), Premier Anesthesia Of California, PC (San Ramon, CA) and 1 more organization, listed in the Medicare section above. 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 Edward Herold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Herold was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.