DR. DOUGLAS EDWARD HERTFORD M.D.
NPI 1376626580
Radiology - Diagnostic Radiology in New York, NY

Q: What is Douglas Hertford's NPI number?

The NPI number for Douglas Hertford is 1376626580. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Douglas Hertford's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Hertford was last updated on July 8, 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.

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment

87.72/100

CMS Quality Rating

400 E 66TH ST, NEW YORK, NY 10021(212) 838-4243 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Douglas Edward Hertford M.d. NPPES

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

DR. DOUGLAS EDWARD HERTFORD M.D. (NPI 1376626580) is an individual diagnostic radiology provider in New York, New York, licensed in New York (178969-1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1988).

NPPES Registry Identity

NPI1376626580

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. DOUGLAS EDWARD HERTFORDCredential: M.D.

Location Address400 E 66TH STNew York, NY 10021-9314

Mailing Address415 E 37th StNew York, NY 10016-3200 · (212) 779-7189 · Fax (212) 898-9011

Phone(212) 838-4243

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1988

Enumeration DateOctober 23, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1376626580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NY · 178969-1

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

400 E 66TH ST, New York, NY 10021

Open in Google Maps ↗

Other Identifiers 1

Medicare UPING02083NY

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

Dr. Douglas Edward Hertford 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 ID7416053863

PECOS Enrollment IDI20070502000226

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

Medicare enrollment records show Douglas Hertford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York Private Medical Imaging Practice, PLLC

1.4 mi

Specialist

106 E 61ST ST
New York, NY 10065

Reassigned Medicare billing, New York enrollment
25 clinicians in this Medicare group

NPI 1740459593 (212) 772-7637

Lenox Hill Radiology & Medical Imaging Associates, PC

1.4 mi

Diagnostic Radiology

61 E 77TH ST
New York, NY 10021

Reassigned Medicare billing, Connecticut and New York enrollments
5 clinicians in this Medicare group

NPI 1821036807 (212) 772-3111

Advantagecare Physicians PC

2.2 mi

General Practice

215 E 95TH ST
New York, NY 10128

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1336578772 (212) 996-8000

Hudson Valley Radiology Associates PLLC

26 mi

Diagnostic Radiology

18 SQUADRON BLVD
New City, NY 10956

Reassigned Medicare billing, New York enrollment
210 clinicians in this Medicare group

NPI 1174574115 (845) 634-9729

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

Areas of Expertise CMS Part B claims 22

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

14,300 services155 patients

Injection, gadoterate meglumine, 0.1 ml A9575

Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.

8,651 services50 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

162 services159 patients

Injection, gadoxetate disodium, 1 ml A9581

Gadoxetate disodium is a contrast agent used during MRI scans to help visualize the liver. It's injected into your vein before the scan, enhancing the images and aiding in accurate diagnosis. It's safe and side effects are rare.

110 services11 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

108 services108 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

62 services60 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

61 services60 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

57 services55 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

56 services56 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

55 services55 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

53 services52 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

35 services34 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

28 services28 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

27 services25 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

25 services25 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

22 services22 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

22 services22 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

20 services20 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

18 services18 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

14 services14 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

12 services12 patients

Ct scan of soft tissue of neck before and after contrast 70492

A CT scan of the neck's soft tissue uses special X-ray equipment to create detailed pictures of your neck's structures. Contrast dye is injected to make certain areas more visible. It helps in diagnosing conditions like infections, tumors, or injuries.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

87.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

DR. ILONA HONI HERTZ M.D.

Radiology (Diagnostic Radiology)

400 E 66TH ST, MANHATTAN DIAGNOSTIC RADIOLOGY
NEW YORK, NY 10021

New York County (212) 838-4243

MARTIN STUART HERBSTMAN M.D.

Radiology (Diagnostic Radiology)

400 E 66TH ST
NEW YORK, NY 10021

New York County (212) 838-4243

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 Douglas Hertford's NPI number?

The NPI number for Douglas Hertford is 1376626580. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Douglas Hertford located?

Douglas Hertford practices at 400 E 66th St, New York, NY 10021. The listed phone number is (212) 838-4243.

What is Douglas Hertford's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Douglas Hertford enrolled in Medicare?

Yes. Douglas Hertford 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 Douglas Hertford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Hertford reassigns Medicare benefits to 4 organizations: New York Private Medical Imaging Practice, PLLC (New York, NY), Lenox Hill Radiology & Medical Imaging Associates, PC (New York, NY), Advantagecare Physicians PC (New York, NY) and Hudson Valley Radiology Associates PLLC (New City, 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 Douglas Hertford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Hertford was last updated on July 8, 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.