KENNETH L. HERMAN DO
NPI 1356382550
Emergency Medicine in Passaic, NJ

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
91.73/100
CMS Quality Rating
350 BOULEVARD, PASSAIC, NJ 07055(973) 365-5110(973) 470-5944 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth L. Herman Do NPPES

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

KENNETH L. HERMAN DO (NPI 1356382550) is an individual emergency medicine provider in Passaic, New Jersey, licensed in New Jersey (MB50008) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chenango Memorial Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1356382550
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKENNETH L. HERMANCredential: DO
Location Address350 BOULEVARDPassaic, NJ 07055-2840
Mailing Address307 S Evergreen AveWoodbury, NJ 08096-2739 · (856) 686-4300
Fax(973) 470-5944
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 12, 2007
NPI 1356382550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NJ · MB50008
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
350 BOULEVARD, Passaic, NJ 07055

Other Identifiers 3

Medicare UPINE78481
Medicare ID-Type Unspecified071379NJ
Medicaid0647900NJ

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

Kenneth L. Herman Do 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 ID5698676310
PECOS Enrollment IDI20180316000556
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
119 services106 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
112 services105 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
41 services40 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

91.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.01
Promoting Interoperability100
Improvement Activities40
Cost70.06

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.

Student in an Organized Health Care Education/Training Program
350 BOULEVARD, ST. MARY'S HOSPITAL MEMORIAL BUILDING, ROOM 416
PASSAIC, NJ 07055
Radiology (Therapeutic Radiology)
350 BOULEVARD
PASSAIC, NJ 07055
Emergency Medicine
350 BOULEVARD
PASSAIC, NJ 07055
Pharmacy (Community/Retail Pharmacy)
350 BOULEVARD
PASSAIC, NJ 07055
Anesthesiology
350 BOULEVARD
PASSAIC, NJ 07055
Student in an Organized Health Care Education/Training Program
350 BOULEVARD
PASSAIC, NJ 07055
Emergency Medicine
350 BOULEVARD
PASSAIC, NJ 07055
Anesthesiology
350 BOULEVARD
PASSAIC, NJ 07055

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 Kenneth Herman's NPI number?

The NPI number for Kenneth Herman is 1356382550. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Kenneth Herman located?

Kenneth Herman practices at 350 Boulevard, Passaic, NJ 07055. The listed phone number is (973) 365-5110.

What is Kenneth Herman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Herman enrolled in Medicare?

Yes. Kenneth 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.

Is Kenneth Herman affiliated with any hospitals?

According to CMS data, Kenneth Herman is affiliated with Chenango Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Herman was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.