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DR. JAMES W. HERMAN O.D.
NPI 1376548974
Optometrist in Hurricane, WV

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
3709 TEAYS VALLEY RD, HURRICANE, WV 25526(304) 757-2533(304) 757-2354 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James W. Herman O.d. NPPES

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

DR. JAMES W. HERMAN O.D. (NPI 1376548974) is an individual optometrist in Hurricane, West Virginia, licensed in West Virginia (826OD) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1986).

NPPES Registry Identity

NPI1376548974
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES W. HERMANCredential: O.D.
Location Address3709 TEAYS VALLEY RDHurricane, WV 25526-9622
Mailing Address3709 Teays Valley RdHurricane, WV 25526-9622 · (304) 757-2533 · Fax (304) 757-2354
Phone(304) 757-2533
Fax(304) 757-2354
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1986
Enumeration DateJune 20, 2005
Last NPPES UpdateOctober 18, 2007
✔ NPI 1376548974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WV · 826OD
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3709 TEAYS VALLEY RD, Hurricane, WV 25526
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Other Identifiers 3

Medicaid0149539000WV
Medicare UPINT32422
Medicare PINHE0596252

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Providence Health Plan.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. James W. Herman O.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 ID7012012180
PECOS Enrollment IDI20070418000213
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 8

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,529 services22 patients
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.
244 services230 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
102 services62 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
90 services87 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
39 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25526 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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.

MOUNTAIN STATE EYE CARE PLLC
Optometrist
3709 TEAYS VALLEY RD
HURRICANE, WV 25526
Putnam County (304) 757-2533
DR. GREGORY SHAWN SAMMONS O.D.
Optometrist
3709 TEAYS VALLEY RD
HURRICANE, WV 25526
Putnam County (304) 757-2533
JAMES W. HERMAN, OD
Optometrist
3709 TEAYS VALLEY RD
HURRICANE, WV 25526
Putnam County (304) 757-2533
JULIE HULEIS
Optometrist
3709 TEAYS VALLEY RD
HURRICANE, WV 25526
Putnam County (304) 757-2533

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 James Herman's NPI number?

The NPI number for James Herman is 1376548974. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is James Herman located?

James Herman practices at 3709 Teays Valley Rd, Hurricane, WV 25526. The listed phone number is (304) 757-2533.

What is James Herman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is James Herman enrolled in Medicare?

Yes. James 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.

What insurance does James Herman accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list James 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 James Herman was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.