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MAURICIO FERNANDO HERRERA MD
NPI 1306844303
Orthopaedic Surgery - Sports Medicine in Miami, FL

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
11801 SW 90TH ST, SUITE 201, MIAMI, FL 33186(305) 595-1317(305) 279-6813 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mauricio Fernando Herrera Md NPPES

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

MAURICIO FERNANDO HERRERA MD (NPI 1306844303) is an individual sports medicine provider in Miami, Florida, licensed in Florida (ME-88609) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1997).

NPPES Registry Identity

NPI1306844303
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameMAURICIO FERNANDO HERRERACredential: MD
Location Address11801 SW 90TH ST, SUITE 201Miami, FL 33186-2182
Mailing Address11801 Sw 90th St, Suite 201Miami, FL 33186-2182 · (305) 595-1317 · Fax (305) 279-6813
Phone(305) 595-1317
Fax(305) 279-6813
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1997
Enumeration DateJuly 13, 2005
Last NPPES UpdateFebruary 28, 2013
✔ NPI 1306844303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · ME-88609
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
11801 SW 90TH ST, Miami, FL 33186
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN48298ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Mauricio Fernando Herrera 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 ID1355318452
PECOS Enrollment IDI20040916000432
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services17 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.
19 services19 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.
18 services14 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
17 services12 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
15 services13 patients
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.
15 services14 patients

Referred Medical Equipment & Supplies CMS DME claims 7

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

Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
3 suppliers212 claims25,351 services$29.88 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
6 suppliers838 claims130,370 services$19.32 avg. paid by Medicare
Collagen dressing, sterile, size more than 48 sq. in., each A6023
DME-Medical/Surgical Supplies · category DA023N
3 suppliers292 claims9,051 services$169.12 avg. paid by Medicare
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6238
DME-Medical/Surgical Supplies · category DA023N
4 suppliers214 claims12,589 services$20.93 avg. paid by Medicare
Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel E0693
DME-Other DME · category DE000N
6 suppliers828 claims828 services$1,346.79 avg. paid by Medicare
Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access E2510
DME-Other DME · category DE000N
5 suppliers456 claims831 services$655.02 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.

MONTSERRAT BUIA, M.D., P.A.
Family Medicine
11801 SW 90TH ST, 105
MIAMI, FL 33186
Miami-Dade County (305) 279-7020
FELIX A STANZIOLA, MD, PA
Specialist
11801 SW 90TH ST, SUITE 101
MIAMI, FL 33186
Miami-Dade County (305) 595-0719
DR. DAVID E FONT-RODRIGUEZ MD
Specialist
11801 SW 90TH ST, SUITE 201
MIAMI, FL 33186
Miami-Dade County (305) 595-1274
MIAMI REGIONAL OPCO LLC
Clinic/Center (Ambulatory Surgical)
11801 SW 90TH ST
MIAMI, FL 33186
Miami-Dade County (212) 220-9222
PREMIERCARE SURGERY CENTER OF KENDALL, LLC
Clinic/Center (Ambulatory Surgical)
11801 SW 90TH ST
MIAMI, FL 33186
Miami-Dade County (772) 485-7657
SPEEDIX, INC.
Physician Assistant (Surgical)
11801 SW 90TH ST, SUITE 101
MIAMI, FL 33186
Miami-Dade County (305) 595-0719
DR. AMAR DILIP RAJADHYAKSHA MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
11801 SW 90TH ST, SUITE 201
MIAMI, FL 33186
Miami-Dade County (305) 595-1317
DR. LIAM MCCARTHY MD
Physical Medicine & Rehabilitation (Pain Medicine)
11801 SW 90TH ST, SUITE 201
MIAMI, FL 33186
Miami-Dade County (305) 595-1317

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 Mauricio Herrera's NPI number?

The NPI number for Mauricio Herrera is 1306844303. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Mauricio Herrera located?

Mauricio Herrera practices at 11801 SW 90th St Suite 201, Miami, FL 33186. The listed phone number is (305) 595-1317.

What is Mauricio Herrera's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Mauricio Herrera enrolled in Medicare?

Yes. Mauricio Herrera 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 Mauricio Herrera 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 3 other insurers list Mauricio 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 Mauricio Herrera was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.