DR. HENRY ROBERT HERRERA JR. M.D.
NPI 1386961720
Internal Medicine - Gastroenterology in Edinburg, TX

Active since April 26, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5520 LEONARDO DA VINCI, STE 100, EDINBURG, TX 78539(956) 362-3636 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2023, Mar 17, 2018, Jul 14, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Henry Robert Herrera Jr. M.d. NPPES

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

DR. HENRY ROBERT HERRERA JR. M.D. (NPI 1386961720) is an individual gastroenterology provider in Edinburg, Texas, licensed in Texas (P3347) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and maintains a secondary practice location in Rio Grande City.

NPPES Registry Identity

NPI1386961720
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. HENRY ROBERT HERRERA JR.Credential: M.D.
Location Address5520 LEONARDO DA VINCI, STE 100Edinburg, TX 78539-1422
Mailing AddressPo Box 6139Mcallen, TX 78502-6139 · (956) 362-3636 · Fax (956) 362-2699
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2010
Enumeration DateApril 26, 2010
Last NPPES UpdateMarch 27, 20235 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
NPI 1386961720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · P3347
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

5520 LEONARDO DA VINCI, Edinburg, TX 78539

Secondary Practice Location 1

Location 1101 N Fm 3167 Ste 106Rio Grande City, TX 78582-6725 · Phone (956) 352-1431 · Fax (956) 352-1431

Other Identifiers 1

Medicaid357916101TX

Accepted 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. Henry Robert Herrera Jr. 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 ID6507156999
PECOS Enrollment IDI20160525002782
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 10

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.

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.
63 services45 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
53 services53 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
48 services46 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.
29 services27 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
27 services27 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.63
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Gastroenterology)
5520 LEONARDO DA VINCI, STE 100
EDINBURG, TX 78539
Internal Medicine (Gastroenterology)
5520 LEONARDO DA VINCI, STE. 101
EDINBURG, TX 78539
Internal Medicine (Gastroenterology)
5520 LEONARDO DA VINCI, STE 100
EDINBURG, TX 78539
Nurse Practitioner (Adult Health)
5520 LEONARDO DA VINCI, STE 100
EDINBURG, TX 78539
Internal Medicine (Gastroenterology)
5520 LEONARDO DA VINCI, STE 100
EDINBURG, TX 78539
Nurse Practitioner (Family)
5520 LEONARDO DA VINCI
EDINBURG, TX 78539
Nurse Anesthetist, Certified Registered
5520 LEONARDO DA VINCI
EDINBURG, TX 78539
Nurse Anesthetist, Certified Registered
5520 LEONARDO DA VINCI
EDINBURG, TX 78539

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 Henry Herrera's NPI number?

The NPI number for Henry Herrera is 1386961720. It was assigned to this individual provider in the NPPES registry on April 26, 2010.

Where is Henry Herrera located?

Henry Herrera practices at 5520 Leonardo Da Vinci Ste 100, Edinburg, TX 78539. The listed phone number is (956) 362-3636.

What is Henry Herrera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Henry Herrera enrolled in Medicare?

Yes. Henry Herrera 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 Henry Herrera accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Henry 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.

Is Henry Herrera affiliated with any hospitals?

According to CMS data, Henry Herrera is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Henry Herrera was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.