TOM M. HERBERT MD
NPI 1295708345
Hospitalist in Reno, NV

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
1155 MILL ST, RENO, NV 89502(775) 982-7878(775) 982-4196 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tom M. Herbert Md NPPES

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

TOM M. HERBERT MD (NPI 1295708345) is an individual hospitalist provider in Reno, Nevada, licensed in Nevada (11018) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and is a graduate of University Of Nevada School Of Medicine (2001).

NPPES Registry Identity

NPI1295708345
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTOM M. HERBERTCredential: MD
Location Address1155 MILL STReno, NV 89502-1576
Mailing Address850 Harvard WayReno, NV 89502-2055 · (775) 982-5262 · Fax (775) 982-5496
Fax(775) 982-4196
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2001
Enumeration DateFebruary 9, 2006
Last NPPES UpdateDecember 15, 2017
NPI 1295708345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NV · 11018
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 11018 (NV)
1155 MILL ST, Reno, NV 89502

Other Identifiers 3

OtherP00195508NV · Railroad Medicare
Other11647714Caqh
Medicaid1295708345NV

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

Tom M. Herbert 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 ID3072585660
PECOS Enrollment IDI20040812001089, I20050412001510
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 19

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
694 services119 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
310 services303 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
293 services185 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
107 services105 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
105 services32 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
100 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290001
Location1155 Mill StreetReno, NV 89502 · Washoe County
Emergency services Birthing friendly

Renown South Meadows Medical Center

Acute Care Hospitals · Reno, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290049
Location10101 Double R BlvdReno, NV 89521 · Washoe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89502 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers23 claims23 services$18.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers34 claims34 services$94.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$34.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
1155 MILL ST
RENO, NV 89502
Radiology (Vascular & Interventional Radiology)
1155 MILL ST
RENO, NV 89502
Pharmacist (Ambulatory Care)
1155 MILL ST
RENO, NV 89502
Registered Nurse (Neonatal Intensive Care)
1155 MILL ST
RENO, NV 89502
Internal Medicine (Cardiovascular Disease)
1155 MILL ST
RENO, NV 89502
Pathology (Anatomic Pathology & Clinical Pathology)
1155 MILL ST
RENO, NV 89502
Hospitalist
1155 MILL ST
RENO, NV 89502
Hospitalist
1155 MILL ST
RENO, NV 89502

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 Tom Herbert's NPI number?

The NPI number for Tom Herbert is 1295708345. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Tom Herbert located?

Tom Herbert practices at 1155 Mill St, Reno, NV 89502. The listed phone number is (775) 982-7878.

What is Tom Herbert's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Tom Herbert enrolled in Medicare?

Yes. Tom Herbert 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 Tom Herbert affiliated with any hospitals?

According to CMS data, Tom Herbert is affiliated with Renown Regional Medical Center and Renown South Meadows Medical Center.

When was this NPI record last updated?

The NPPES record for Tom Herbert was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.