DANIEL M HERRON MD
NPI 1265408991
Surgery in New York, NY

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
5 E 98TH ST, 14TH FL, NEW YORK, NY 10029(212) 241-5308(212) 241-5979 Get Directions Write a Review

NPPES record last updated: January 22, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel M Herron Md NPPES

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

DANIEL M HERRON MD (NPI 1265408991) is an individual surgery provider in New York, New York, licensed in New York (214638) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1992).

NPPES Registry Identity

NPI1265408991
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDANIEL M HERRONCredential: MD
Location Address5 E 98TH ST, 14TH FLNew York, NY 10029-6574
Mailing Address1 Gustave L Levy Pl, Box 1263New York, NY 10029-6574 · (212) 241-5308 · Fax (212) 241-5979
Fax(212) 241-5979
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1992
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJanuary 22, 2010
NPI 1265408991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 214638
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

5 E 98TH ST, New York, NY 10029

Other Identifiers 2

Medicare UPING96807
Medicare ID-Type Unspecified81L831NY

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

Daniel M 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 ID9739155730
PECOS Enrollment IDI20040909000863
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
24 services19 patients
New patient office or other outpatient visit, 45-59 minutes 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.
21 services21 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
17 services13 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
14 services13 patients
Upper gastrointestinal (GI) endoscopy for acid reflux NAN12
An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
0 services1 patient
Hernia repair (minimally invasive) NAN16
Hernia repair is a surgery to fix a hernia - a condition where an organ pushes through an opening in the muscle or tissue that holds it in place. Minimally invasive hernia repair involves small incisions, a tiny camera, and special surgical tools. This method often leads to quicker recovery, less pain, and reduced scarring compared to traditional surgery.
0 services20 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 20

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

Specialist
5 E 98TH ST, FL 6
NEW YORK, NY 10029
Specialist
5 E 98TH ST, FL 6
NEW YORK, NY 10029
Specialist
5 E 98TH ST, FL 6
NEW YORK, NY 10029
Surgery
5 E 98TH ST, BOX 1259
NEW YORK, NY 10029
Ophthalmology
5 E 98TH ST, 7TH FLOOR
NEW YORK, NY 10029
Internal Medicine (Cardiovascular Disease)
5 E 98TH ST, 3RD FLOOR
NEW YORK, NY 10029
Dermatology
5 E 98TH ST, 5TH FLOOR BOX 1048
NEW YORK, NY 10029
Dermatology
5 E 98TH ST, 5TH FLOOR BOX 1048
NEW YORK, NY 10029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265408991, enumerated as an "individual" on February 23, 2006.

The provider is located at 5 E 98TH ST 14TH FL NEW YORK, NY 10029 and the phone number is (212) 241-5308.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Daniel Herron is affiliated with: MOUNT SINAI HOSPITAL.