SCOTT HERMAN MD
NPI 1396770145
Internal Medicine in Fairfield, CT

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
1055 POST RD, FAIRFIELD, CT 06824(203) 371-4895 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Scott Herman Md NPPES

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

SCOTT HERMAN MD (NPI 1396770145) is an individual internal medicine provider in Fairfield, Connecticut, licensed in Connecticut (036759) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1994).

NPPES Registry Identity

NPI1396770145
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSCOTT HERMANCredential: MD
Location Address1055 POST RDFairfield, CT 06824-6019
Mailing Address1055 Post RdFairfield, CT 06824-6019
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1994
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396770145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 036759
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1055 POST RD, Fairfield, CT 06824

Other Identifiers 1

Medicare UPING83478

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

Scott Herman Md 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 ID9739220781
PECOS Enrollment IDI20100113000027
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

7

Medicare enrollment records show Scott Herman reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1055 POST RD
Fairfield, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 54 clinicians in this Medicare group
General Practice
930 MILL HILL TER
Southport, CT 06890
  • Reassigned Medicare billing, Connecticut enrollment
  • 11 clinicians in this Medicare group
2.5 mi
Urgent Care
1910 BLACK ROCK TPKE
Fairfield, CT 06825
  • Reassigned Medicare billing, Connecticut enrollment
  • 43 clinicians in this Medicare group
Urgent Care
161 BOSTON AVE
Bridgeport, CT 06610
  • Reassigned Medicare billing, Connecticut enrollment
  • 44 clinicians in this Medicare group
5.4 mi
Family Medicine
4200 MAIN STREET
Bridgeport, CT 06606
  • Reassigned Medicare billing, Connecticut enrollment
  • 41 clinicians in this Medicare group
Urgent Care
389 BRIDGEPORT AVE
Shelton, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 40 clinicians in this Medicare group
General Practice
22 LIBERTY RD
Tappan, NY 10983
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group

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 5

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 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.
121 services117 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
90 services90 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
23 services21 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
21 services21 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06824 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.82
Promoting Interoperability100
Improvement Activities40
Cost79.76

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.

Specialist/Technologist (Athletic Trainer)
1055 POST RD, SELECT PHYSICAL THERAPY
FAIRFIELD, CT 06824
Internal Medicine
1055 POST RD
FAIRFIELD, CT 06824
Physical Medicine & Rehabilitation (Sports Medicine)
1055 POST RD
FAIRFIELD, CT 06824
Family Medicine
1055 POST RD
FAIRFIELD, CT 06824
Physical Therapist
1055 POST RD
FAIRFIELD, CT 06824
Physician Assistant (Medical)
1055 POST RD
FAIRFIELD, CT 06824
Clinic/Center (Urgent Care)
1055 POST RD
FAIRFIELD, CT 06824
Specialist
1055 POST RD
FAIRFIELD, CT 06824

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 Scott Herman's NPI number?

The NPI number for Scott Herman is 1396770145. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Scott Herman located?

Scott Herman practices at 1055 Post Rd, Fairfield, CT 06824. The listed phone number is (203) 371-4895.

What is Scott Herman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Scott Herman enrolled in Medicare?

Yes. Scott 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.

Which organizations bill Medicare for Scott Herman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Herman reassigns Medicare benefits to 7 organizations: St. Vincents Urgent Care LLC (Fairfield, CT), Integrated Wound Care Connecticut PLLC (Southport, CT), Qmg2,llc (Fairfield, CT), Quentin Medical Group, LLC (Bridgeport, CT), Qmg4, LLC (Bridgeport, CT) and 2 more organizations, listed in the Medicare section above. 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 Scott Herman'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 Scott Herman 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.