RACHAEL HERRERA MD
NPI 1215676218
Emergency Medicine in Philadelphia, PA

NPI Status: Active since May 31, 2022

Contact Information

3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 668-3474

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Emergency Medicine
PECOS Enrolled

About RACHAEL HERRERA

This page provides the complete NPI Profile along with additional information for Rachael Herrera, a provider established in Philadelphia, Pennsylvania with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1215676218 assigned on May 2022. The practitioner's primary taxonomy code is 207P00000X with license number MT225983 (PA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1215676218
Provider Name: RACHAEL HERRERA MD
Gender: Female
Entity Type: Individual
Location Address: 3401 N BROAD ST PHILADELPHIA, PA 19140
Location Phone: (215) 668-3474
Mailing Address: 640 N BROAD ST APT 615 PHILADELPHIA, PA 19130
Mailing Phone: (818) 933-1342
Is Sole Proprietor?: No
Enumeration Date: 05-31-2022
Last Update Date: 05-31-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Emergency Medicine
Taxonomy Code: 207P00000X
Type: Allopathic & Osteopathic Physicians
License No.: MT225983
License State: PA
Taxonomy Description: 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.

Medicare Participation & PECOS Enrollment Status

Rachael Herrera is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19140 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $92.69
Minimum New Patient Price $59.88
Maximum New Patient Price $180.99

Average New Patient Copayment $23.17
Minimum New Patient Copayment $14.97
Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $105.21
Minimum Established Patient Price $19.3
Maximum Established Patient Price $147.29

Average Established Patient Copayment $26.3
Minimum Established Patient Copayment $4.82
Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	1	5	6	7	6	2	1	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	12	7	12	2	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 7 + 1 + 2 + 2 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8									8

The NPI number 1215676218 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. SHEFALI AGRAWAL MD

Specialist

3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140

About RACHAEL HERRERA

Location Map

Specialty - Primary Taxonomy

Emergency Medicine

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for RACHAEL HERRERA MD

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

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