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JAMES HERRIN
NPI 1225240500
Emergency Medicine in Lawrence, KS

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Herrin NPPES

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

JAMES HERRIN (NPI 1225240500) is an individual emergency medicine provider in Lawrence, Kansas, licensed in Kansas (04-32996) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Lmh, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2005).

NPPES Registry Identity

NPI1225240500
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES HERRIN
Location Address325 MAINELawrence, KS 66044
Mailing Address325 MaineLawrence, KS 66044-2710 · (785) 505-6162
Phone(785) 505-6162
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2005
Enumeration DateMay 7, 2007
Last NPPES UpdateJune 28, 2010
✔ NPI 1225240500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KS · 04-32996
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.
325 MAINE, Lawrence, KS 66044
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company.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

James Herrin 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 ID3577637891
PECOS Enrollment IDI20080806000630
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.

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.
96 services95 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.
32 services32 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66044 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 3

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

LINDA RIPPETOE DIETITIAN
Dietitian, Registered
325 MAINE
LAWRENCE, KS 66044
Douglas County (785) 840-3039
MONA D. HEASTY P.T.
Physical Therapist
325 MAINE
LAWRENCE, KS 66044
Douglas County (785) 840-2712
MIGUEL A. RICO MSPT
Physical Therapist
325 MAINE
LAWRENCE, KS 66044
Douglas County (785) 840-2712

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 James Herrin's NPI number?

The NPI number for James Herrin is 1225240500. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is James Herrin located?

James Herrin practices at 325 Maine, Lawrence, KS 66044. The listed phone number is (785) 505-6162.

What is James Herrin's specialty?

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

Is James Herrin enrolled in Medicare?

Yes. James Herrin 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 James Herrin accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list James Herrin 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 James Herrin affiliated with any hospitals?

According to CMS data, James Herrin is affiliated with Lmh.

When was this NPI record last updated?

The NPPES record for James Herrin was last updated on June 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.