KELLY HERRERA MD
NPI 1285678425
Pathology - Anatomic Pathology in Middletown, NY

NPI Status: Active since June 16, 2006

Contact Information

ORANGE REGIONAL MEDICAL CENTER - HORTON CAMPUS
60 PROSPECT ST
MIDDLETOWN, NY
ZIP 10940
Phone: (845) 294-4339
Fax: (845) 294-4333

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  • Individual
  • Female
  • Pathology
  • Anatomic Pathology
  • PECOS Enrolled

About KELLY HERRERA

This page provides the complete NPI Profile along with additional information for Kelly Herrera, a provider established in Middletown, New York with a medical specialization in Pathology, focusing in anatomic pathology . The healthcare provider is registered in the NPI registry with number 1285678425 assigned on June 2006. The practitioner's primary taxonomy code is 207ZP0101X with license number 221985 (NY). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1285678425
Provider Name
KELLY HERRERA MD
Gender
Female
Entity Type
Individual
Location Address
ORANGE REGIONAL MEDICAL CENTER - HORTON CAMPUS 60 PROSPECT ST MIDDLETOWN, NY 10940
Location Phone
(845) 294-4339
Location Fax
(845) 294-4333
Mailing Address
PO BOX 511 GOSHEN, NY 10924
Mailing Phone
(845) 294-4339
Mailing Fax
(845) 294-4333
Is Sole Proprietor?
No
Enumeration Date
06-16-2006
Last Update Date
05-24-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology

Taxonomy Code
207ZP0101X
Type
Allopathic & Osteopathic Physicians
License No.
221985
License State
NY
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02371644MEDICAID (05)NY 
50R421MEDICARE PIN (08)NY 
H27819MEDICARE UPIN (02)NY 
A400033677MEDICARE PIN (08)NY 

Medicare Participation & PECOS Enrollment Status

Kelly Herrera is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10940 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $141.77
  • Minimum New Patient Price $61.88
  • Maximum New Patient Price $187.05
  • Average New Patient Copayment $35.44
  • Minimum New Patient Copayment $15.47
  • Maximum New Patient Copayment $46.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $108.56
  • Minimum Established Patient Price $19.92
  • Maximum Established Patient Price $151.94
  • Average Established Patient Copayment $27.14
  • Minimum Established Patient Copayment $4.98
  • Maximum Established Patient Copayment $37.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for KELLY HERRERA MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285678425
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651271644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 1 + 6 + 4 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1285678425 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

JUAN DARDATI MD

Pathology

(Anatomic Pathology)

ORANGE REGIONAL MEDICAL CENTER - HORTON CAMPUS
60 PROSPECT AVE
MIDDLETOWN, NY
ZIP 10940

(845) 342-7156

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285678425, enumerated as an "individual" on June 16, 2006.

The provider is located at ORANGE REGIONAL MEDICAL CENTER - HORTON CAMPUS 60 PROSPECT ST MIDDLETOWN, NY 10940 and the phone number is (845) 294-4339.

Pathology with taxonomy code 207ZP0101X and a focus in Anatomic Pathology.

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