JONATHAN HERMAN M.D.
NPI 1255305538
Obstetrics & Gynecology in Lake Success, NY

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
2500 MARCUS AVE, SUITE 105, LAKE SUCCESS, NY 11042(516) 358-1200(516) 358-2340 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2024, Apr 15, 2021 (2 updates tracked since 2021).

About Jonathan Herman M.d. NPPES

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

JONATHAN HERMAN M.D. (NPI 1255305538) is an individual obstetrics & gynecology provider in Lake Success, New York, licensed in New York (188818) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York Medical College (1989).

NPPES Registry Identity

NPI1255305538
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJONATHAN HERMANCredential: M.D.
Location Address2500 MARCUS AVE, SUITE 105Lake Success, NY 11042-1018
Mailing Address2500 Marcus Ave, Suite 105Lake Success, NY 11042-1018 · (516) 358-1200 · Fax (516) 358-2340
Fax(516) 358-2340
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1989
Enumeration DateFebruary 14, 2006
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
NPI 1255305538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 188818
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2500 MARCUS AVE, Lake Success, NY 11042

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

Jonathan Herman M.d. 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 ID3173561594
PECOS Enrollment IDI20050418000523
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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
107 services96 patients
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.
89 services82 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
47 services47 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Medical Oncology)
2500 MARCUS AVE, SUITE 110
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
2500 MARCUS AVE, SUITE 105
NEW HYDE PARK, NY 11042
Psychiatry & Neurology (Psychiatry)
2500 MARCUS AVE, SUITE 110
NEW HYDE PARK, NY 11042
Specialist
2500 MARCUS AVE
NEW HYDE PARK, NY 11042
Emergency Medical Technician, Basic
2500 MARCUS AVE
NEW HYDE PARK, NY 11042
Specialist
2500 MARCUS AVE, SUITE 105
LAKE SUCCESS, NY 11042
Obstetrics & Gynecology
2500 MARCUS AVE
NEW HYDE PARK, NY 11042
Obstetrics & Gynecology
2500 MARCUS AVE
NEW HYDE PARK, NY 11042

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 Jonathan Herman's NPI number?

The NPI number for Jonathan Herman is 1255305538. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Jonathan Herman located?

Jonathan Herman practices at 2500 Marcus Ave Suite 105, Lake Success, NY 11042. The listed phone number is (516) 358-1200.

What is Jonathan Herman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jonathan Herman enrolled in Medicare?

Yes. Jonathan Herman 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 Jonathan Herman affiliated with any hospitals?

According to CMS data, Jonathan Herman is affiliated with North Shore University Hospital and St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Jonathan Herman was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.