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DANIEL HERMAN MD
NPI 1205850369
Family Medicine in Seattle, WA

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
201 16TH AVE E, SEATTLE, WA 98112(206) 326-3000 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2021, Mar 11, 2021 (2 updates tracked since 2021).

About Daniel Herman Md NPPES

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

DANIEL HERMAN MD (NPI 1205850369) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD00038126) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and maintains a secondary practice location in Renton.

NPPES Registry Identity

NPI1205850369
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL HERMANCredential: MD
Location Address201 16TH AVE ESeattle, WA 98112-5226
Mailing Address201 16th Ave ESeattle, WA 98112-5226 · (206) 326-3000
Phone(206) 326-3000
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1988
Enumeration DateJuly 26, 2006
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1205850369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00038126
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 16TH AVE E, Seattle, WA 98112
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Secondary Practice Location 1

Location 13915 Talbot Rd S Ste 401Renton, WA 98055-5738 · Phone (425) 690-3445 · Fax (425) 690-9445

Other Identifiers 2

Medicaid8254120WA
Medicaid1043247WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, 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

Daniel Herman 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 ID840315875
PECOS Enrollment IDI20100915000168
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services33 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.
31 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98112 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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.

DR. MICHAEL DONG CHO M.D.
Internal Medicine (Rheumatology)
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 326-3000
MRS. MELAINE MENDOZA ROMAN OTRP, OTR/L
Occupational Therapist
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 326-4545
NHI LUAN TAN
Student in an Organized Health Care Education/Training Program
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 326-3000
GROUP HEALTH COOPERATIVE
Clinic/Center (Ambulatory Surgical)
201 16TH AVE E, SUITE CMB-2
SEATTLE, WA 98112
King County (206) 326-2107
JOYCE KRISTINE AQUINO
Registered Nurse (Home Health)
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 326-4545
KIMBERLY DAWN GRASSMAN
Home Health Aide
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 635-1668
GARRETT KOBAYASHI PHARMD
Pharmacist
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 326-2880
TAYLAR GALLUP OTR/L
Occupational Therapist
201 16TH AVE E
SEATTLE, WA 98112
King County (877) 751-2446

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 Daniel Herman's NPI number?

The NPI number for Daniel Herman is 1205850369. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Daniel Herman located?

Daniel Herman practices at 201 16th Ave E, Seattle, WA 98112. The listed phone number is (206) 326-3000.

What is Daniel Herman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Herman enrolled in Medicare?

Yes. Daniel 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 Daniel Herman accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Daniel 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.

Is Daniel Herman affiliated with any hospitals?

According to CMS data, Daniel Herman is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Herman was last updated on April 13, 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.