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DR. MICHAEL E HERRMANN M.D.
NPI 1164525093
Obstetrics & Gynecology in Belleville, IL

Active since September 06, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 14D0434104 · Microscopy
2900 FRANK SCOTT PKWY W, SUITE 966, BELLEVILLE, IL 62223(618) 235-8600(618) 235-8869 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael E Herrmann M.d. NPPES

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

DR. MICHAEL E HERRMANN M.D. (NPI 1164525093) is an individual obstetrics & gynecology provider in Belleville, Illinois and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is affiliated with Memorial Hospital.

NPPES Registry Identity

NPI1164525093
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MICHAEL E HERRMANNCredential: M.D.
Location Address2900 FRANK SCOTT PKWY W, SUITE 966Belleville, IL 62223-5000
Mailing Address2900 Frank Scott Pkwy W, Suite 966Belleville, IL 62223-5000 · (618) 235-8600 · Fax (618) 235-8869
Phone(618) 235-8600
Fax(618) 235-8869
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1975
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1164525093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2900 FRANK SCOTT PKWY W, Belleville, IL 62223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Michael E Herrmann M.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 ID2466457155
PECOS Enrollment IDI20080626000642
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0434104

Michael E Herrmann MD · Belleville, IL
Active · expires Aug 31, 2026
CLIA Number14D0434104
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael E. Herrmann
Laboratory Phone(618) 235-8600
Laboratory LocationMichael E Herrmann MD2900 Frank Scott Pkwy West Suite 966, Belleville, IL 62223
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
51 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62223 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 20

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

CAROLYN SUE ENDICOTT MSW, LCSW
Social Worker (Clinical)
2900 FRANK SCOTT PKWY W, SUITE 956
BELLEVILLE, IL 62223
St. Clair County (618) 233-3273
ELDON TRAME M.D.
Internal Medicine
2900 FRANK SCOTT PKWY W, SUITE 904
BELLEVILLE, IL 62223
St. Clair County (618) 234-0640
MS. RUDABA KHALID PT
Physical Therapist
2900 FRANK SCOTT PKWY W
BELLEVILLE, IL 62223
St. Clair County (618) 607-5103
WOMAN TO WOMAN, P.C.
Obstetrics & Gynecology
2900 FRANK SCOTT PKWY W, SUITE 908
BELLEVILLE, IL 62223
St. Clair County (618) 236-7555
SOUTHERN ILLINOIS OTOLARYNGOLOGY, LTD
Otolaryngology
2900 FRANK SCOTT PKWY W, SUITE 930
BELLEVILLE, IL 62223
St. Clair County (618) 235-8082
DR. AMANDA M HART DPM
Podiatrist (Foot & Ankle Surgery)
2900 FRANK SCOTT PKWY W, SUITE 900
BELLEVILLE, IL 62223
St. Clair County (618) 277-5700
CHRISTINA M ANSHUS DC
Chiropractor
2900 FRANK SCOTT PKWY W, 908
BELLEVILLE, IL 62223
St. Clair County (618) 236-3600
MS. CAROL A. STERLING M.A.
Counselor (Mental Health)
2900 FRANK SCOTT PKWY W, SUITE 956-A
BELLEVILLE, IL 62223
St. Clair County (618) 624-5796

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 Michael Herrmann's NPI number?

The NPI number for Michael Herrmann is 1164525093. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Michael Herrmann located?

Michael Herrmann practices at 2900 Frank Scott Pkwy W Suite 966, Belleville, IL 62223. The listed phone number is (618) 235-8600.

What is Michael Herrmann's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Herrmann enrolled in Medicare?

Yes. Michael Herrmann 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.

Does Michael Herrmann hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0434104) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michael Herrmann accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Michael Herrmann 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.

Is Michael Herrmann affiliated with any hospitals?

According to CMS data, Michael Herrmann is affiliated with Memorial Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Michael Herrmann was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.