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DR. JAMES MICHAEL HERROLD MD
NPI 1235166885
Psychiatry & Neurology - Neurology in Meridian, ID

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
3875 E OVERLAND RD, SUITE 201, MERIDIAN, ID 83642(208) 343-6200(208) 344-8355 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Michael Herrold Md NPPES

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

DR. JAMES MICHAEL HERROLD MD (NPI 1235166885) is an individual neurology provider in Meridian, Idaho, licensed in Idaho (M7321) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1989).

NPPES Registry Identity

NPI1235166885
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JAMES MICHAEL HERROLDCredential: MD
Location Address3875 E OVERLAND RD, SUITE 201Meridian, ID 83642-9005
Mailing Address2499 N Corsey WayEagle, ID 83616 · (208) 440-6345 · Fax (208) 344-8355
Phone(208) 343-6200
Fax(208) 344-8355
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1989
Enumeration DateJune 27, 2006
Last NPPES UpdateMay 5, 2015
✔ NPI 1235166885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in ID · M7321
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3875 E OVERLAND RD, Meridian, ID 83642
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Other Identifiers 1

Medicare UPING50630ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, 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. James Michael Herrold 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 ID6002903184
PECOS Enrollment IDI20071106000756
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 4

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.
118 services99 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$38.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

ORTHOPEDIC HEALTH CARE INCORPORATED
Orthopaedic Surgery (Sports Medicine)
3875 E OVERLAND RD
MERIDIAN, ID 83642
Ada County (208) 287-0203
JAMES H MORLAND MD
Physical Medicine & Rehabilitation (Pain Medicine)
3875 E OVERLAND RD, SUITE 200
MERIDIAN, ID 83642
Ada County (208) 955-7246
SAGE DIAGNOSTICS & IMAGING
Clinic/Center (Magnetic Resonance Imaging (MRI))
3875 E OVERLAND RD
MERIDIAN, ID 83642
Ada County (208) 287-6588
JAMES H MORLAND, MD
Physical Medicine & Rehabilitation (Pain Medicine)
3875 E OVERLAND RD, SUITE 200
MERIDIAN, ID 83642
Ada County (208) 955-7246
ST ALPHONSUS REGIONAL MEDICAL CENTER INC
Clinic/Center (Physical Therapy)
3875 E OVERLAND RD
MERIDIAN, ID 83642
Ada County (208) 367-4470
KRISTI J. MCMAHAN D.P.T.
Physical Therapist (Orthopedic)
3875 E OVERLAND RD
MERIDIAN, ID 83642
Ada County (208) 489-5060
DR. PAUL CALVIN COLLINS M.D.
Orthopaedic Surgery (Sports Medicine)
3875 E OVERLAND RD
MERIDIAN, ID 83642
Ada County (208) 287-0203
JANET MAUREEN DAVIDSON DPT
Physical Therapist
3875 E OVERLAND RD
MERIDIAN, ID 83642
Ada County (208) 367-4470

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 Herrold's NPI number?

The NPI number for James Herrold is 1235166885. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is James Herrold located?

James Herrold practices at 3875 E Overland Rd Suite 201, Meridian, ID 83642. The listed phone number is (208) 343-6200.

What is James Herrold's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Herrold enrolled in Medicare?

Yes. James Herrold 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 Herrold accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list James Herrold 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 Herrold affiliated with any hospitals?

According to CMS data, James Herrold is affiliated with St Luke's Regional Medical Center and Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Herrold was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.