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DR. STEPHANIE JO HERRERA MD
NPI 1245534064
Otolaryngology in Lake Jackson, TX

Active since January 08, 2011PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
215 OAK DR S, SUITE F, LAKE JACKSON, TX 77566(979) 299-1520(979) 299-1421 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2022, Jul 21, 2022, Jul 14, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Stephanie Jo Herrera Md NPPES

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

DR. STEPHANIE JO HERRERA MD (NPI 1245534064) is an individual otolaryngology provider in Lake Jackson, Texas, licensed in Texas (N8304) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of University Of Texas Medical School At San Antonio (2005).

NPPES Registry Identity

NPI1245534064
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. STEPHANIE JO HERRERACredential: MD
Location Address215 OAK DR S, SUITE FLake Jackson, TX 77566-5629
Mailing Address215 Oak Dr S, Suite FLake Jackson, TX 77566-5629 · (979) 299-1520 · Fax (979) 299-1421
Phone(979) 299-1520
Fax(979) 299-1421
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2005
Enumeration DateJanuary 8, 2011
Last NPPES UpdateOctober 10, 20224 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1245534064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · N8304
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
215 OAK DR S, Lake Jackson, TX 77566
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, UnitedHealthcare and more.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. Stephanie Jo Herrera 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 ID2466621206
PECOS Enrollment IDI20110811000438
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 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.
159 services114 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
114 services94 patients
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.
66 services56 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
62 services54 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.
57 services57 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
39 services18 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Chi St Luke's Health Brazosport

Acute Care Hospitals · Lake Jackson, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450072
Location100 Medical DriveLake Jackson, TX 77566 · Brazoria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77566 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
$131.03 typical visit price
range $57.16 – $172.89
Typical copayment $32.75 (range $14.29 – $43.22)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.45 – $141.27
Typical copayment $17.82 (range $4.61 – $35.31)
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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability98
Improvement Activities40
Cost50.22

Referred Medical Equipment & Supplies CMS DME claims 2

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers16 claims74 services$1.80 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers23 claims25 services$36.55 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.

JOE GARRETT R.PH.
Pharmacist
215 OAK DR S, SUITE M
LAKE JACKSON, TX 77566
Brazoria County (979) 297-1776
NICHOLAS B CREEL M.D. ,PA.
Specialist
215 OAK DR S, STE A
LAKE JACKSON, TX 77566
Brazoria County (979) 297-1241
DR. MICHAEL P GILLILAND MD
Specialist
215 OAK DR S, SUITE D
LAKE JACKSON, TX 77566
Brazoria County (979) 297-2755
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
215 OAK DR S
LAKE JACKSON, TX 77566
Brazoria County (281) 824-1480
DR. DONALD BENNETT MD
Specialist
215 OAK DR S, SUITE B
LAKE JACKSON, TX 77566
Brazoria County (979) 297-6436
SPENCE'S MEDICAL CENTER PHARMACY
Pharmacy (Community/Retail Pharmacy)
215 OAK DR S, STE M
LAKE JACKSON, TX 77566
Brazoria County (979) 297-1776
DR. THOMAS MASON LUNSFORD MD
Otolaryngology
215 OAK DR S, SUITE F
LAKE JACKSON, TX 77566
Brazoria County (979) 299-1520
D. N. BENNETT, MD PA
Obstetrics & Gynecology
215 OAK DR S, STE B
LAKE JACKSON, TX 77566
Brazoria County (979) 297-6436

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 Stephanie Herrera's NPI number?

The NPI number for Stephanie Herrera is 1245534064. It was assigned to this individual provider in the NPPES registry on January 8, 2011.

Where is Stephanie Herrera located?

Stephanie Herrera practices at 215 Oak Dr S Suite F, Lake Jackson, TX 77566. The listed phone number is (979) 299-1520.

What is Stephanie Herrera's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Stephanie Herrera enrolled in Medicare?

Yes. Stephanie Herrera 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 Stephanie Herrera accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, UnitedHealthcare and WellPoint list Stephanie Herrera 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 Stephanie Herrera affiliated with any hospitals?

According to CMS data, Stephanie Herrera is affiliated with University Of Texas Medical Branch Galveston and Chi St Luke's Health Brazosport.

When was this NPI record last updated?

The NPPES record for Stephanie Herrera was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.