DR. HERBERT SILVERSTEIN MD
NPI 1295745305
Otolaryngology - Otology & Neurotology in Sarasota, FL

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
78.8/100
CMS Quality Rating
1901 FLOYD ST, SARASOTA, FL 34239(941) 366-9222 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Herbert Silverstein Md NPPES

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

DR. HERBERT SILVERSTEIN MD (NPI 1295745305) is an individual otology & neurotology provider in Sarasota, Florida, licensed in Florida (ME20977) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1961).

NPPES Registry Identity

NPI1295745305
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameDR. HERBERT SILVERSTEINCredential: MD
Location Address1901 FLOYD STSarasota, FL 34239-2932
Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1961
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
NPI 1295745305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License Licensed in FL · ME20977
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
1901 FLOYD ST, Sarasota, FL 34239

Other Identifiers 1

Medicaid053344100FL

Accepted 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. Herbert Silverstein 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 ID3072598333
PECOS Enrollment IDI20101122001219
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 6

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 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.
133 services87 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
93 services71 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
45 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
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.
27 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
16 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost50.81

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.

Otolaryngology (Plastic Surgery within the Head & Neck)
1901 FLOYD ST
SARASOTA, FL 34239
Audiologist
1901 FLOYD ST
SARASOTA, FL 34239
Audiologist
1901 FLOYD ST
SARASOTA, FL 34239
Audiologist
1901 FLOYD ST
SARASOTA, FL 34239
Audiologist
1901 FLOYD ST
SARASOTA, FL 34239
Physician Assistant (Medical)
1901 FLOYD ST
SARASOTA, FL 34239
Physician Assistant (Medical)
1901 FLOYD ST
SARASOTA, FL 34239
Audiologist
1901 FLOYD ST
SARASOTA, FL 34239

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 Herbert Silverstein's NPI number?

The NPI number for Herbert Silverstein is 1295745305. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Herbert Silverstein located?

Herbert Silverstein practices at 1901 Floyd St, Sarasota, FL 34239. The listed phone number is (941) 366-9222.

What is Herbert Silverstein's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Herbert Silverstein enrolled in Medicare?

Yes. Herbert Silverstein 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 Herbert Silverstein accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Herbert Silverstein 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 Herbert Silverstein was last updated on December 2, 2020. 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.