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DAVID HERSON MD PA
NPI 1356573489
Anesthesiology - Pain Medicine in Lutz, FL

Active since August 24, 2009
21756 STATE ROAD 54, SUITE 102A, LUTZ, FL 33549(813) 443-5817(813) 443-5818 Get Directions Write a Review

NPPES record last updated: August 24, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About David Herson Md Pa NPPES

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

DAVID HERSON MD PA (NPI 1356573489) is a healthcare organization registered as a pain medicine in Lutz, Florida and active in the NPI registry since August 2009. The organization lists David M Herson, Owner, as its authorized official.

NPPES Registry Identity

NPI1356573489
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameDAVID HERSON MD PA
Location Address21756 STATE ROAD 54, SUITE 102ALutz, FL 33549-2905
Mailing Address14701 Croydon PlTampa, FL 33618-2160 · (813) 443-5817 · Fax (813) 443-5818
Phone(813) 443-5817
Fax(813) 443-5818
Organization SubpartNo
Authorized OfficialDavid M HersonOwner · (813) 443-5817
Enumeration DateAugust 24, 2009
✔ NPI 1356573489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
21756 STATE ROAD 54, Lutz, FL 33549
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Herson Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David Herson MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Herson, MD
Interventional Pain Management
NPI 1316942030
21756 STATE ROAD 54 SUITE 102A
Lutz, FL 33549
(813) 443-5817
✔ PECOS✔ Accepts MedicareSame address

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

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 David Herson MD PA's NPI number?

The NPI number for David Herson MD PA is 1356573489. It was assigned to this organization in the NPPES registry on August 24, 2009.

Where is David Herson MD PA located?

David Herson MD PA is located at 21756 State Road 54 Suite 102A, Lutz, FL 33549. The listed phone number is (813) 443-5817.

What is David Herson MD PA's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is David Herson MD PA enrolled in Medicare?

Yes. David Herson MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David Herson MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to David Herson MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David Herson MD PA was last updated on August 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.