DR. HAZEM HERBLY MD
NPI 1346200540
Psychiatry & Neurology - Psychiatry in Jacksonville, FL

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1325 SAN MARCO BLVD STE 300, JACKSONVILLE, FL 32207(904) 376-3800(904) 390-7392 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, May 13, 2022, Feb 21, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Hazem Herbly Md NPPES

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

DR. HAZEM HERBLY MD (NPI 1346200540) is an individual psychiatry provider in Jacksonville, Florida, licensed in Florida (ME58188) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1346200540
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. HAZEM HERBLYCredential: MD
Location Address1325 SAN MARCO BLVD STE 300Jacksonville, FL 32207-8567
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Fax(904) 390-7392
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateMarch 23, 2006
Last NPPES UpdateSeptember 11, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1346200540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in FL · ME58188
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1325 SAN MARCO BLVD STE 300, Jacksonville, FL 32207

Other Identifiers 3

Other260017976FL · Railroad Medicare
Medicaid000463086BGA
Medicaid0637530-00FL

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

Dr. Hazem Herbly 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 ID9931598299
PECOS Enrollment IDI20211109000192
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 4

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 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.
566 services163 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
107 services106 patients
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.
40 services21 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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

Family Medicine (Geriatric Medicine)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Internal Medicine (Pulmonary Disease)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Physician Assistant
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Counselor (Mental Health)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Internal Medicine (Critical Care Medicine)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Nurse Practitioner (Acute Care)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Internal Medicine (Geriatric Medicine)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Nurse Practitioner
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207

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 Hazem Herbly's NPI number?

The NPI number for Hazem Herbly is 1346200540. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Hazem Herbly located?

Hazem Herbly practices at 1325 San Marco Blvd Ste 300, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Hazem Herbly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Hazem Herbly enrolled in Medicare?

Yes. Hazem Herbly 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 Hazem Herbly accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Hazem Herbly 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 Hazem Herbly affiliated with any hospitals?

According to CMS data, Hazem Herbly is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Hazem Herbly was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.