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KIMBERLY M HERRERA MD
NPI 1174785620
Obstetrics & Gynecology in East Setauket, NY

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
6 TECHNOLOGY DRIVE, SUITE 200, EAST SETAUKET, NY 11733(631) 444-4686(631) 444-4622 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly M Herrera Md NPPES

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

KIMBERLY M HERRERA MD (NPI 1174785620) is an individual obstetrics & gynecology provider in East Setauket, New York, licensed in New York (264026-1) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Boston University School Of Medicine (2008).

NPPES Registry Identity

NPI1174785620
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIMBERLY M HERRERACredential: MD
Location Address6 TECHNOLOGY DRIVE, SUITE 200East Setauket, NY 11733-9254
Mailing AddressPo Box 1554Stony Brook, NY 11790-0988 · (631) 444-0650 · Fax (631) 638-4170
Phone(631) 444-4686
Fax(631) 444-4622
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateJuly 15, 2015
✔ NPI 1174785620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 264026-1
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.
6 TECHNOLOGY DRIVE, East Setauket, NY 11733
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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

Kimberly M Herrera 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 ID345553541
PECOS Enrollment IDI20150716002785
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.

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

LAURA R. LESCH N.P.
Nurse Practitioner
6 TECHNOLOGY DRIVE, STE 200
EAST SETAUKER, NY 11733
Suffolk County (631) 444-4686
KRISTEN JOY CLEMENS CM
Advanced Practice Midwife
6 TECHNOLOGY DRIVE
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4686
DR. DIANA JANET GARRETTO MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6 TECHNOLOGY DRIVE, SUITE 200
SETAUKET, NY 11733
Suffolk County (631) 444-4686

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 Kimberly Herrera's NPI number?

The NPI number for Kimberly Herrera is 1174785620. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Kimberly Herrera located?

Kimberly Herrera practices at 6 Technology Drive Suite 200, East Setauket, NY 11733. The listed phone number is (631) 444-4686.

What is Kimberly Herrera's specialty?

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

Is Kimberly Herrera enrolled in Medicare?

Yes. Kimberly 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.

Is Kimberly Herrera affiliated with any hospitals?

According to CMS data, Kimberly Herrera is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Herrera was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.