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MONICA HERRERA M.D.
NPI 1366587859
Pediatrics in Frisco, TX

Active since February 21, 2007PECOS Enrolled
5680 FRISCO SQUARE BLVD STE 1200, FRISCO, TX 75034(972) 403-5437(972) 403-5438 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2023, Sep 28, 2021 (2 updates tracked since 2021).

About Monica Herrera M.d. NPPES

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

MONICA HERRERA M.D. (NPI 1366587859) is an individual pediatrics provider in Frisco, Texas, licensed in Texas (J4206) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366587859
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMONICA HERRERACredential: M.D.
Location Address5680 FRISCO SQUARE BLVD STE 1200Frisco, TX 75034-3323
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(972) 403-5437
Fax(972) 403-5438
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1366587859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · J4206
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5680 FRISCO SQUARE BLVD STE 1200, Frisco, TX 75034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica Herrera M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Monica Herrera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
41 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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 75034 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDRIELLE COLLIER DO
Pediatrics
5680 FRISCO SQUARE BLVD STE 1200
FRISCO, TX 75034
Denton County (972) 403-5437
CLINIC 21 OF COLLIN COUNTY, PLLC
Emergency Medicine
5680 FRISCO SQUARE BLVD STE 1200
FRISCO, TX 75034
Denton County (214) 618-8390
JULIE MESSNER D.O.
Pediatrics
5680 FRISCO SQUARE BLVD STE 1200
FRISCO, TX 75034
Denton County (972) 403-5437
LILY CHENG HAN M.D.
Pediatrics
5680 FRISCO SQUARE BLVD STE 1200
FRISCO, TX 75034
Denton County (972) 403-5437

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 Monica Herrera's NPI number?

The NPI number for Monica Herrera is 1366587859. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Monica Herrera located?

Monica Herrera practices at 5680 Frisco Square Blvd Ste 1200, Frisco, TX 75034. The listed phone number is (972) 403-5437.

What is Monica Herrera's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Monica Herrera enrolled in Medicare?

Yes. Monica Herrera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monica Herrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Herrera reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Monica Herrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Herrera accept?

Health plans from Baylor Scott and White Health Plan list Monica Herrera 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 Monica Herrera was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.