DR. BRYAN R HERRON MD
NPI 1245252311
Orthopaedic Surgery in Prince Frederick, MD

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
497 MAIN ST, SUITE 200, PRINCE FREDERICK, MD 20678(410) 414-9840(410) 414-9841 Get Directions Write a Review

NPPES record last updated: January 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bryan R Herron Md NPPES

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

DR. BRYAN R HERRON MD (NPI 1245252311) is an individual orthopaedic surgery provider in Prince Frederick, Maryland, licensed in Maryland (D51875) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Calverthealth Medical Center, and is a graduate of Tufts University School Of Medicine (1988).

NPPES Registry Identity

NPI1245252311
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BRYAN R HERRONCredential: MD
Location Address497 MAIN ST, SUITE 200Prince Frederick, MD 20678-3189
Mailing Address497 Main St, Suite 200Prince Frederick, MD 20678-3189 · (410) 414-9840 · Fax (410) 414-9841
Fax(410) 414-9841
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1988
Enumeration DateJuly 24, 2006
Last NPPES UpdateJanuary 28, 2015
NPI 1245252311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MD · D51875
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
497 MAIN ST, Prince Frederick, MD 20678

Other Identifiers 2

OtherKCZPMD · Bcbs Md
Medicare UPING49259

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. Bryan R Herron 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 ID5799771929
PECOS Enrollment IDI20040422001534
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 11

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.
440 services213 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
230 services24 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
116 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
111 services111 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
91 services29 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
86 services11 patients

Hospital Affiliations CMS Care Compare

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

Calverthealth Medical Center

Acute Care Hospitals · Prince Frederick, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210039
Location100 Hospital RoadPrince Frederick, MD 20678 · Calvert County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20678 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy
99%138 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
100%136 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Orthopaedic Surgery
497 MAIN ST, STE 200
PRINCE FREDERICK, MD 20678
Orthopaedic Surgery
497 MAIN ST, SUITE 200
PRINCE FREDERICK, MD 20678
Physician Assistant
497 MAIN ST
PRINCE FREDERICK, MD 20678

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 Bryan Herron's NPI number?

The NPI number for Bryan Herron is 1245252311. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Bryan Herron located?

Bryan Herron practices at 497 Main St Suite 200, Prince Frederick, MD 20678. The listed phone number is (410) 414-9840.

What is Bryan Herron's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Bryan Herron enrolled in Medicare?

Yes. Bryan Herron 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.

Is Bryan Herron affiliated with any hospitals?

According to CMS data, Bryan Herron is affiliated with Calverthealth Medical Center.

When was this NPI record last updated?

The NPPES record for Bryan Herron was last updated on January 28, 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.