MR. PAUL HERBIX HEROLD PA-C
NPI 1316307614
Physician Assistant in Miami, FL

Active since February 29, 2016PECOS EnrolledAccepts Medicare Assignment
64.79/100
CMS Quality Rating
8900 N KENDALL DR, MIAMI CANCER INSTITUTE, MIAMI, FL 33176(786) 596-2000 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2021, Mar 17, 2017, Apr 1, 2016 and 1 more (4 updates tracked since 2016).

About Mr. Paul Herbix Herold Pa-c NPPES

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

MR. PAUL HERBIX HEROLD PA-C (NPI 1316307614) is an individual physician assistant in Miami, Florida, licensed in Florida (PA9109149) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1316307614
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. PAUL HERBIX HEROLDCredential: PA-C
Location Address8900 N KENDALL DR, MIAMI CANCER INSTITUTEMiami, FL 33176-2118
Mailing AddressPo Box 743144Atlanta, GA 30374-3144
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 29, 2016
Last NPPES UpdateMarch 30, 20214 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1316307614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9109149
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8900 N KENDALL DR, Miami, FL 33176

Other Identifiers 1

Medicaid013881300FL

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

Mr. Paul Herbix Herold Pa-c 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 ID5193019982
PECOS Enrollment IDI20160802000876
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services49 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.
17 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

64.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.72
Promoting Interoperability99
Improvement Activities0
Cost45.29

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.

Surgery (Surgical Oncology)
8900 N KENDALL DR
MIAMI, FL 33176
Physician Assistant
8900 N KENDALL DR
MIAMI, FL 33176
Radiology (Diagnostic Radiology)
8900 N KENDALL DR
MIAMI, FL 33176
Internal Medicine (Hospice and Palliative Medicine)
8900 N KENDALL DR
MIAMI, FL 33176
Obstetrics & Gynecology
8900 N KENDALL DR
MIAMI, FL 33176
Internal Medicine (Medical Oncology)
8900 N KENDALL DR
MIAMI, FL 33176
Hospitalist
8900 N KENDALL DR
MIAMI, FL 33176
Nurse Practitioner (Family)
8900 N KENDALL DR, MIAMI CANCER INSTITUTE
MIAMI, FL 33176

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 Paul Herold's NPI number?

The NPI number for Paul Herold is 1316307614. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Paul Herold located?

Paul Herold practices at 8900 N Kendall Dr Miami Cancer Institute, Miami, FL 33176. The listed phone number is (786) 596-2000.

What is Paul Herold's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Paul Herold enrolled in Medicare?

Yes. Paul Herold 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 Paul Herold accept?

Health plans from Oscar Health Maintenance Organization of Florida list Paul Herold 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 Paul Herold affiliated with any hospitals?

According to CMS data, Paul Herold is affiliated with South Miami Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Paul Herold was last updated on March 30, 2021. 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.