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JORGE L HERRERA MD
NPI 1316986193
Internal Medicine - Gastroenterology in Mobile, AL

Active since June 06, 2006PECOS Enrolled
96.56/100
CMS Quality Rating
75 S UNIVERSITY BLVD, UCOM 6000 B, MOBILE, AL 36688(251) 660-5555(251) 660-5559 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jorge L Herrera Md NPPES

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

JORGE L HERRERA MD (NPI 1316986193) is an individual gastroenterology provider in Mobile, Alabama, licensed in Alabama (14475) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316986193
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJORGE L HERRERACredential: MD
Location Address75 S UNIVERSITY BLVD, UCOM 6000 BMobile, AL 36688-0002
Mailing AddressPo Box 40480Mobile, AL 36640-0480 · (251) 660-5555 · Fax (251) 660-5559
Phone(251) 660-5555
Fax(251) 660-5559
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 11, 2015
✔ NPI 1316986193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in AL · 14475
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
75 S UNIVERSITY BLVD, Mobile, AL 36688
Open in Google Maps ↗

Other Identifiers 6

Medicaid00121491MS
Medicare UPINE20793
Medicaid000080733AL
Other29-10130AL · United Health Care
Other51080733AL · Blue Cross
Medicaid255637500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge L Herrera 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36688 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
Promoting Interoperability100
Improvement Activities40

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.

KATHLEEN J FERGUSON CRNP
Nurse Practitioner (Gerontology)
75 S UNIVERSITY BLVD, UCOM 6000 A
MOBILE, AL 36688
Mobile County (251) 660-5787
JACK A DIPALMA MD
Internal Medicine (Gastroenterology)
75 S UNIVERSITY BLVD, UCOM 6000 B
MOBILE, AL 36688
Mobile County (251) 660-5555
DR. THOMAS JOSEPH LEYTHAM M.D.
Family Medicine
75 S UNIVERSITY BLVD, UCOM 6000 A
MOBILE, AL 36688
Mobile County (251) 660-5787
JULIE ROSE LUCAS PA-C
Physician Assistant
75 S UNIVERSITY BLVD, UCOM 6000 A
MOBILE, AL 36688
Mobile County (251) 660-5787

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 Jorge Herrera's NPI number?

The NPI number for Jorge Herrera is 1316986193. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Jorge Herrera located?

Jorge Herrera practices at 75 S University Blvd Ucom 6000 B, Mobile, AL 36688. The listed phone number is (251) 660-5555.

What is Jorge Herrera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jorge Herrera enrolled in Medicare?

Yes. Jorge Herrera is registered in the Medicare PECOS enrollment system.

What insurance does Jorge Herrera accept?

Health plans from Oscar Health Plan, Inc. list Jorge 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 Jorge Herrera was last updated on May 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.