DR. CARLOS ROBERTO HERRERA MD
NPI 1336776178
Family Medicine in Yonkers, NY

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
127 S BROADWAY, YONKERS, NY 10701(914) 378-7586 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 28, 2024, Mar 23, 2020 (2 updates tracked since 2020).

About Dr. Carlos Roberto Herrera Md NPPES

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

DR. CARLOS ROBERTO HERRERA MD (NPI 1336776178) is an individual family medicine provider in Yonkers, New York, licensed in New York (324390) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336776178
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARLOS ROBERTO HERRERACredential: MD
Location Address127 S BROADWAYYonkers, NY 10701-4006
Mailing Address2024 Benedict Ave Apt 4dBronx, NY 10462-4427 · (347) 589-7173
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 23, 2020
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1336776178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 324390
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
127 S BROADWAY, Yonkers, NY 10701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos Roberto 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 ID840616082
PECOS Enrollment IDI20250924004380
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Carlos Herrera reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
127 S BROADWAY
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Joseph's Hospital Yonkers
  • 233 clinicians in this Medicare group
Multi-Specialty
1612 CENTRAL AVE
Far Rockaway, NY 11691
  • Reassigned Medicare billing, New York enrollment
  • 125 clinicians in this Medicare group
Physical Medicine & Rehabilitation
66 W GILBERT ST
Tinton Falls, NJ 07701
  • Reassigned Medicare billing, New York enrollment
  • 52 clinicians in this Medicare group
Internal Medicine
140 SOUTHAMPTON RD
Westfield, MA 01085
  • Reassigned Medicare billing, Massachusetts enrollment
  • 242 clinicians in this Medicare group
General Acute Care Hospital
575 BEECH ST
Holyoke, MA 01040
  • Reassigned Medicare billing, Massachusetts enrollment
  • 241 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10701 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.26
Improvement Activities40

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.

Physician Assistant
127 S BROADWAY
YONKERS, NY 10701
Pharmacist
127 S BROADWAY
YONKERS, NY 10701
Physical Therapist
127 S BROADWAY
YONKERS, NY 10701
Specialist
127 S BROADWAY, SUITE 4A
YONKERS, NY 10701
Occupational Therapy Assistant
127 S BROADWAY
YONKERS, NY 10701
Student in an Organized Health Care Education/Training Program
127 S BROADWAY
YONKERS, NY 10701
Physician Assistant
127 S BROADWAY
YONKERS, NY 10701
Student in an Organized Health Care Education/Training Program
127 S BROADWAY
YONKERS, NY 10701

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 Carlos Herrera's NPI number?

The NPI number for Carlos Herrera is 1336776178. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Carlos Herrera located?

Carlos Herrera practices at 127 S Broadway, Yonkers, NY 10701. The listed phone number is (914) 378-7586.

What is Carlos Herrera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carlos Herrera enrolled in Medicare?

Yes. Carlos 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.

Which organizations bill Medicare for Carlos Herrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Herrera reassigns Medicare benefits to 5 organizations: St. Joseph's Hospital & Medical Center (Yonkers, NY), Vantage Medical Associates PC (Far Rockaway, NY), Newburgh Physician Services PC (Tinton Falls, NJ), Western Mass Physician Associates Inc (Westfield, MA) and Holyoke Medical Center, Inc. (Holyoke, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Herrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carlos Herrera affiliated with any hospitals?

According to CMS data, Carlos Herrera is affiliated with Holyoke Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Herrera was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.