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MARIA LOURDES HERRERA M.D.
NPI 1285994921
Pediatrics - Pediatric Gastroenterology in San Diego, CA

Active since May 28, 2012PECOS Enrolled
3020 CHILDRENS WAY # MC5124, SAN DIEGO, CA 92123(858) 966-6764 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2021, Jul 3, 2018 (2 updates tracked since 2018).

About Maria Lourdes Herrera M.d. NPPES

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

MARIA LOURDES HERRERA M.D. (NPI 1285994921) is an individual pediatric gastroenterology provider in San Diego, California, licensed in Montana (MED-PHYS-LIC-92335) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285994921
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameMARIA LOURDES HERRERACredential: M.D.
Location Address3020 CHILDRENS WAY # MC5124San Diego, CA 92123-4223
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255
Phone(858) 966-6764
Sole ProprietorNo
Enumeration DateMay 28, 2012
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1285994921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in MT · MED-PHYS-LIC-92335✔ Licensed in NC · 2018-00788
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License MED-PHYS-LIC-92335 (MT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3020 CHILDRENS WAY # MC5124, San Diego, CA 92123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Lourdes Herrera M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Maria Herrera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Billings Cinic
880 mi
Family Medicine
236 YELLOWSTONE AVE
West Yellowstone, MT 59758
  • Reassigned Medicare billing, Montana and Wyoming enrollments
  • Medicare enrollment name: Billings Clinic
  • Also billed through NPI 1346288347 (Wyoming)
  • 1,264 clinicians in this Medicare group
NPI 1710600119 (406) 238-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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.

EMILY BONTRAGER MD
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
MARISSA CALDWELL
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
DREW MATSUURA
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
KALEY ANN GROOMS MD
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (585) 626-0782
MARC ALAIN DUROCHER MD
Pediatrics
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
LAUREN NICOLE ARONSON
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
BRANDON BRIZUELA
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
JESSICA TRAVIS MD
Pediatrics
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764

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 Maria Herrera's NPI number?

The NPI number for Maria Herrera is 1285994921. It was assigned to this individual provider in the NPPES registry on May 28, 2012.

Where is Maria Herrera located?

Maria Herrera practices at 3020 Childrens Way # Mc5124, San Diego, CA 92123. The listed phone number is (858) 966-6764.

What is Maria Herrera's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Maria Herrera enrolled in Medicare?

Yes. Maria Herrera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maria Herrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Herrera reassigns Medicare benefits to Billings Cinic (West Yellowstone, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Herrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Herrera accept?

Health plans from AmeriHealth Caritas Next, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans and 1 other insurer list Maria 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.

When was this NPI record last updated?

The NPPES record for Maria Herrera was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.