DR. JOEL PHILLIP HERRINGTON MD
NPI 1295949782
Emergency Medicine in Claremont, NH

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
73.11/100
CMS Quality Rating
243 ELM STREET, CLAREMONT, NH 03743(603) 542-7771(603) 543-6950 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joel Phillip Herrington Md NPPES

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

DR. JOEL PHILLIP HERRINGTON MD (NPI 1295949782) is an individual emergency medicine provider in Claremont, New Hampshire, licensed in Maine (MD19837) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital- Laconia, and is a graduate of Georgetown University School Of Medicine (2006).

NPPES Registry Identity

NPI1295949782
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOEL PHILLIP HERRINGTONCredential: MD
Location Address243 ELM STREETClaremont, NH 03743-2099
Mailing Address243 Elm StreetClaremont, NH 03743-2099
Fax(603) 543-6950
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2006
Enumeration DateMay 10, 2007
Last NPPES UpdateApril 16, 2015
NPI 1295949782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in ME · MD19837
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
243 ELM STREET, Claremont, NH 03743

Other Identifiers 1

Other16756NH · Nh License

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. Joel Phillip Herrington 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 ID2567691470
PECOS Enrollment IDI20150624000032
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services84 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Concord Hospital- Franklin

Critical Access Hospitals · Franklin, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301306
Location15 Aiken AvenueFranklin, NH 03235 · Merrimack County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03743 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

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.

73.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.04
Promoting Interoperability91
Improvement Activities40
Cost47.04

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
243 ELM STREET
CLAREMONT, NH 03743
Nurse Anesthetist, Certified Registered
243 ELM STREET, VALLEY REGIONAL HOSPITAL
CLAREMONT, NH 03743
Clinic/Center (Urgent Care)
243 ELM STREET
CLAREMONT, NH 03743
Nurse Practitioner
243 ELM STREET
CLAREMONT, NH 03743
Emergency Medicine
243 ELM STREET
CLAREMONT, NH 03743
Nurse Practitioner (Family)
243 ELM STREET
CLAREMONT, NH 03743
Urology
243 ELM STREET
CLAREMONT, NH 03743

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 Joel Herrington's NPI number?

The NPI number for Joel Herrington is 1295949782. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Joel Herrington located?

Joel Herrington practices at 243 Elm Street, Claremont, NH 03743. The listed phone number is (603) 542-7771.

What is Joel Herrington's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Joel Herrington enrolled in Medicare?

Yes. Joel Herrington 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 Joel Herrington accept?

Health plans from WellSense Health Plan list Joel Herrington 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.

Is Joel Herrington affiliated with any hospitals?

According to CMS data, Joel Herrington is affiliated with Concord Hospital- Laconia and Concord Hospital- Franklin.

When was this NPI record last updated?

The NPPES record for Joel Herrington was last updated on April 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.