JOSEPH M HERMAN M.D.
NPI 1346291465
Radiology - Radiation Oncology in Houston, TX

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joseph M Herman M.d. NPPES

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

JOSEPH M HERMAN M.D. (NPI 1346291465) is an individual radiation oncology provider in Houston, Texas, licensed in Texas (R3859) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Maryland School Of Medicine (2000).

NPPES Registry Identity

NPI1346291465
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameJOSEPH M HERMANCredential: M.D.
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4009
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2000
Enumeration DateMay 13, 2006
Last NPPES UpdateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1346291465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in TX · R3859✔ Licensed in MD · D63290
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1515 HOLCOMBE BLVD, Houston, TX 77030

Secondary Practice Location 1

Location 12727 W Holcombe BlvdHouston, TX 77025-1669 · Phone (713) 442-0000

Other Identifiers 3

Medicaid363713401 (MDACC)TX
Other8GH926 (MDACC)TX · Bcbs
Medicaid408015700MD

Accepted Insurance

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

Joseph M Herman M.d. 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 ID6406885904
PECOS Enrollment IDI20160913001294
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

2

Medicare enrollment records show Joseph Herman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2727 W HOLCOMBE BLVD
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 1,649 clinicians in this Medicare group
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
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.

Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030

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 Joseph Herman's NPI number?

The NPI number for Joseph Herman is 1346291465. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Joseph Herman located?

Joseph Herman practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Joseph Herman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Joseph Herman enrolled in Medicare?

Yes. Joseph Herman 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 Joseph Herman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Herman reassigns Medicare benefits to 2 organizations: Kelsey-Seybold Medical Group, PLLC (Houston, TX) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Joseph Herman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Herman accept?

Health plans from UnitedHealthcare list Joseph Herman 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 Joseph Herman was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.