DR. PAUL ALEXANDER HERMAN M.D.
NPI 1184086134
Emergency Medicine in Baltimore, MD

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
95.99/100
CMS Quality Rating
1830 E MONUMENT ST, SUITE 6-100, BALTIMORE, MD 21287(410) 955-0141 Get Directions Write a Review

NPPES record last updated: December 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2019, Mar 28, 2016 (2 updates tracked since 2016).

About Dr. Paul Alexander Herman M.d. NPPES

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

DR. PAUL ALEXANDER HERMAN M.D. (NPI 1184086134) is an individual emergency medicine provider in Baltimore, Maryland, licensed in Maryland (D87507) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Medstar Montgomery Medical Center, and is a graduate of Warren Alpert Medical School Of Brown University (2016).

NPPES Registry Identity

NPI1184086134
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PAUL ALEXANDER HERMANCredential: M.D.
Location Address1830 E MONUMENT ST, SUITE 6-100Baltimore, MD 21287-0020
Mailing Address1830 E Monument St, Suite 6-100Baltimore, MD 21287-0020
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateDecember 22, 20192 updates tracked since enumeration
NPI 1184086134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MD · D87507
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1830 E MONUMENT ST, Baltimore, MD 21287

Other Identifiers 1

OtherD87507MD · License

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. Paul Alexander Herman 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 ID9638460686
PECOS Enrollment IDI20190702000212, I20200910003602
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
323 services308 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
290 services281 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
218 services210 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
104 services100 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Medstar Montgomery Medical Center

Acute Care Hospitals · Olney, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210018
Location18101 Prince Philip DriveOlney, MD 20832 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
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.

95.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Promoting Interoperability100
Improvement Activities40
Cost74.87

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.

Nurse Practitioner
1830 E MONUMENT ST, 4TH FLOOR
BALTIMORE, MD 21287
Emergency Medicine
1830 E MONUMENT ST, SUITE 6-100
BALTIMORE, MD 21287
Emergency Medicine (Emergency Medical Services)
1830 E MONUMENT ST, SUITE 6-100
BALTIMORE, MD 21287
Internal Medicine
1830 E MONUMENT ST, ROOM 457
BALTIMORE, MD 21287
Emergency Medicine
1830 E MONUMENT ST, SUITE 6-100
BALTIMORE, MD 21287
Internal Medicine (Pulmonary Disease)
1830 E MONUMENT ST, 5TH FLOOR
BALTIMORE, MD 21287
Emergency Medicine
1830 E MONUMENT ST, SUITE 6-100
BALTIMORE, MD 21287
Nurse Practitioner (Adult Health)
1830 E MONUMENT ST, SUITE 418
BALTIMORE, MD 21287

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 Paul Herman's NPI number?

The NPI number for Paul Herman is 1184086134. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Paul Herman located?

Paul Herman practices at 1830 E Monument St Suite 6-100, Baltimore, MD 21287. The listed phone number is (410) 955-0141.

What is Paul Herman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paul Herman enrolled in Medicare?

Yes. Paul Herman 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 Paul Herman affiliated with any hospitals?

According to CMS data, Paul Herman is affiliated with Medstar Montgomery Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Herman was last updated on December 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.