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BARRY S HERST MD
NPI 1295809259
Ophthalmology in Chicago, IL

Active since November 20, 2006PECOS Enrolled
98.32/100
CMS Quality Rating
2800 N SHERIDAN RD, #103, CHICAGO, IL 60657(773) 525-8200(773) 525-8699 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Barry S Herst Md NPPES

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

BARRY S HERST MD (NPI 1295809259) is an individual ophthalmology provider in Chicago, Illinois and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295809259
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBARRY S HERSTCredential: MD
Location Address2800 N SHERIDAN RD, #103Chicago, IL 60657
Mailing Address2800 N Sheridan Rd, #103Chicago, IL 60657 · (773) 525-8200 · Fax (773) 525-8699
Phone(773) 525-8200
Fax(773) 525-8699
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295809259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2800 N SHERIDAN RD, Chicago, IL 60657
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Other Identifiers 5

Other0342700001Dme
Medicare UPINC45357
Medicare ID-Type UnspecifiedP11950
Other0001618089Bc
Medicare ID-Type Unspecified778910

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Barry S Herst Md 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.

Areas of Expertise CMS Part B claims 10

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.
263 services206 patients
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.
223 services219 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
60 services53 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
58 services49 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
36 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

98.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.65
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
99%99 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
3%2,133 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%110 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MARTIN ALAN HIRSCH D.M.D.
Dentist (Prosthodontics)
2800 N SHERIDAN RD, SUITE 204
CHICAGO, IL 60657
Cook County (773) 248-6140
CARDIOMEDICAL ASSOC, LTD.
Specialist
2800 N SHERIDAN RD, SUITE 100
CHICAGO, IL 60657
Cook County (773) 929-1900
RUPERTO MAYUGA M.D.
Internal Medicine (Cardiovascular Disease)
2800 N SHERIDAN RD, SUITE 303
CHICAGO, IL 60657
Cook County (773) 281-7660
DR. THEODORE B HANDRUP MD
Psychiatry & Neurology (Psychiatry)
2800 N SHERIDAN RD, SUITE 502
CHICAGO, IL 60657
Cook County (773) 472-1483
DR. HOURI H SHAFAIE DDS
Dentist
2800 N SHERIDAN RD, SUITE 400
CHICAGO, IL 60657
Cook County (773) 880-5080
DR. SCOTT PORTER NEELEY
Internal Medicine (Pulmonary Disease)
2800 N SHERIDAN RD, STE 301
CHICAGO, IL 60657
Cook County (773) 935-5556
DR. KAMAL K CHAWLA MD
Internal Medicine (Interventional Cardiology)
2800 N SHERIDAN RD, SUITE 510
CHICAGO, IL 60657
Cook County (773) 348-7555
MISS SANGINI DINESH PATEL PAC
Dermatology
2800 N SHERIDAN RD, SUITE #210
CHICAGO, IL 60657
Cook County (773) 281-0046

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 Barry Herst's NPI number?

The NPI number for Barry Herst is 1295809259. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Barry Herst located?

Barry Herst practices at 2800 N Sheridan Rd #103, Chicago, IL 60657. The listed phone number is (773) 525-8200.

What is Barry Herst's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Barry Herst enrolled in Medicare?

Yes. Barry Herst is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Barry Herst was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.