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DR. MAGGIE A HERMAN O.D.
NPI 1285037135
Optometrist in New Philadelphia, OH

Active since October 07, 2014PECOS EnrolledAccepts Medicare Assignment
400 MILL AVE SE STE 329, NEW PHILADELPHIA, OH 44663(330) 339-8787(330) 556-0990 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2018, Jan 12, 2016 (2 updates tracked since 2016).

About Dr. Maggie A Herman O.d. NPPES

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

DR. MAGGIE A HERMAN O.D. (NPI 1285037135) is an individual optometrist in New Philadelphia, Ohio, licensed in Ohio (6343) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2014).

NPPES Registry Identity

NPI1285037135
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MAGGIE A HERMANCredential: O.D.
Location Address400 MILL AVE SE STE 329New Philadelphia, OH 44663-3876
Mailing Address400 Mill Ave Se Ste 329New Philadelphia, OH 44663-3876 · (330) 204-6321 · Fax (330) 556-0990
Phone(330) 339-8787
Fax(330) 556-0990
Sole ProprietorNo
Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2014
Enumeration DateOctober 7, 2014
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1285037135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 6343
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 6343 (OH)
400 MILL AVE SE STE 329, New Philadelphia, OH 44663
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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 Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Maggie A Herman O.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 ID6204139819
PECOS Enrollment IDI20160122001909
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 3

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
56 services56 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
37 services37 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44663 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

EYE TO EYE VISIONCARE
Optometrist
400 MILL AVE SE STE 329
NEW PHILADELPHIA, OH 44663
Tuscarawas County (330) 339-8788

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 Maggie Herman's NPI number?

The NPI number for Maggie Herman is 1285037135. It was assigned to this individual provider in the NPPES registry on October 7, 2014.

Where is Maggie Herman located?

Maggie Herman practices at 400 Mill Ave SE Ste 329, New Philadelphia, OH 44663. The listed phone number is (330) 339-8787.

What is Maggie Herman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Maggie Herman enrolled in Medicare?

Yes. Maggie 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.

What insurance does Maggie Herman accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource list Maggie Herman 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.

When was this NPI record last updated?

The NPPES record for Maggie Herman was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.