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DR. SCOTT HERMAN PSY.D
NPI 1205487204
Psychologist - Clinical in Philadelphia, PA

Active since September 23, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
518 WINTON ST, PHILADELPHIA, PA 19148(267) 827-8554 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2021, Oct 4, 2019, Sep 23, 2019 (3 updates tracked since 2019).

About Dr. Scott Herman Psy.d NPPES

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

DR. SCOTT HERMAN PSY.D (NPI 1205487204) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS018883) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205487204
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SCOTT HERMANCredential: PSY.D
Location Address518 WINTON STPhiladelphia, PA 19148-5725
Mailing Address518 Winton StPhiladelphia, PA 19148-5725 · (267) 827-8554
Phone(267) 827-8554
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 23, 2019
Last NPPES UpdateFebruary 18, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1205487204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS018883
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License PS018883 (PA)
518 WINTON ST, Philadelphia, PA 19148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Scott Herman Psy.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 ID2567794381
PECOS Enrollment IDI20210108001763
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 3

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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
901 services868 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
246 services21 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
116 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19148 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.54
Improvement Activities40

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 Scott Herman's NPI number?

The NPI number for Scott Herman is 1205487204. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Scott Herman located?

Scott Herman practices at 518 Winton St, Philadelphia, PA 19148. The listed phone number is (267) 827-8554.

What is Scott Herman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Scott Herman enrolled in Medicare?

Yes. Scott 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.

What insurance does Scott Herman accept?

Health plans from Providence Health Plan list Scott Herman 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.

When was this NPI record last updated?

The NPPES record for Scott Herman was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.