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DAVID M HERSON MD
NPI 1316942030
Pain Medicine - Pain Medicine in Lutz, FL

Active since June 17, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2005381 · Waiver
21756 STATE ROAD 54, SUITE 102A, LUTZ, FL 33549(813) 443-5817(813) 443-5818 Get Directions Write a Review

NPPES record last updated: August 24, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About David M Herson Md NPPES

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

DAVID M HERSON MD (NPI 1316942030) is an individual pain medicine provider in Lutz, Florida, licensed in Florida (ME61297) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 25, 2028, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1316942030
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDAVID M HERSONCredential: MD
Location Address21756 STATE ROAD 54, SUITE 102ALutz, FL 33549-2905
Mailing Address14701 Croydon PlTampa, FL 33618-2160 · (813) 443-5817 · Fax (813) 443-5818
Phone(813) 443-5817
Fax(813) 443-5818
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 17, 2005
Last NPPES UpdateAugust 24, 2009
✔ NPI 1316942030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in FL · ME61297
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License ME61297 (FL)
21756 STATE ROAD 54, Lutz, FL 33549
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Other Identifiers 8

Medicare PIN58760ZFL
Other4565372FL · Aetna
Other720000186FL · Railroad Medicare
Other2593507FL · Cigna
Other279800FL · Avmed
Medicaid261340900FL
Medicare UPINF57761FL
Other58760FL · Bcbs Of Fl

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

David M Herson 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 ID2365588894
PECOS Enrollment IDI20091013000790
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2005381

David Herson MD PA · Lutz, FL
Active · expires Mar 25, 2028
CLIA Number10D2005381
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorDavid M. Herson
Laboratory Phone(813) 443-5817
Laboratory LocationDavid Herson MD PA21756 State Rd 54 Ste 102A, Lutz, FL 33549
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33549 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 4

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

MRS. MANDI L LEWIS PT
Physical Therapist
21756 STATE ROAD 54, #102
LUTZ, FL 33549
Hillsborough County (813) 948-8443
SAMANTHA L HERRICK DPT
Physical Therapist
21756 STATE ROAD 54, STE 102
LUTZ, FL 33549
Hillsborough County (813) 279-6234
DAVID HERSON MD PA
Anesthesiology (Pain Medicine)
21756 STATE ROAD 54, SUITE 102A
LUTZ, FL 33549
Hillsborough County (813) 443-5817
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES-LUTZ, LLC
Clinic/Center (Physical Therapy)
21756 STATE ROAD 54, SUITE 102
LUTZ, FL 33549
Hillsborough County (813) 418-7350

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 David Herson's NPI number?

The NPI number for David Herson is 1316942030. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is David Herson located?

David Herson practices at 21756 State Road 54 Suite 102A, Lutz, FL 33549. The listed phone number is (813) 443-5817.

What is David Herson's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is David Herson enrolled in Medicare?

Yes. David Herson 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.

Does David Herson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2005381) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does David Herson accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list David Herson 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 David Herson was last updated on August 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.