LARRY HIRSCHFIELD MD
NPI 1437126612
Pathology - Anatomic Pathology & Clinical Pathology in Boca Raton, FL

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 MEADOWS RD, BOCA RATON, FL 33486(561) 955-4730(561) 955-2127 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Larry Hirschfield Md NPPES

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

LARRY HIRSCHFIELD MD (NPI 1437126612) is an individual anatomic pathology & clinical pathology provider in Boca Raton, Florida, licensed in Florida (ME0059598) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and maintains a secondary practice location in Boca Raton.

NPPES Registry Identity

NPI1437126612
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameLARRY HIRSCHFIELDCredential: MD
Location Address800 MEADOWS RDBoca Raton, FL 33486
Mailing Address2644 Nw 63rd StBoca Raton, FL 33496-2031 · (561) 302-9573 · Fax (561) 955-2127
Fax(561) 955-2127
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateMarch 7, 2006
Last NPPES UpdateJune 19, 2019
✔ NPI 1437126612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in FL · ME0059598
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
800 MEADOWS RD, Boca Raton, FL 33486

Secondary Practice Location 1

Location 12644 NW 63rd StBoca Raton, FL 33496-2031 · Phone (561) 302-9573 · Fax (561) 994-3845

Other Identifiers 2

Other14557FL · Blue Cross Blue Shield
Medicaid053851500FL

Accepted Insurance

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

Larry Hirschfield 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 ID244268548
PECOS Enrollment IDI20050729000125
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

2

Medicare enrollment records show Larry Hirschfield reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
800 MEADOWS RD
Boca Raton, FL 33486
  • Reassigned Medicare billing, Florida enrollment
  • 20 clinicians in this Medicare group
Gastroenterology
1900 NEBRASKA AVE, SUITE 5
Fort Pierce, FL 34950
  • Reassigned Medicare billing, Florida enrollment
  • 14 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 26

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
629 services300 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
530 services292 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
444 services104 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
234 services154 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
176 services161 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
149 services88 patients

Hospital Affiliations CMS Care Compare

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33486 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
800 MEADOWS RD
BOCA RATON, FL 33486
Student in an Organized Health Care Education/Training Program
800 MEADOWS RD
BOCA RATON, FL 33486
Emergency Medicine
800 MEADOWS RD
BOCA RATON, FL 33486
Student in an Organized Health Care Education/Training Program
800 MEADOWS RD
BOCA RATON, FL 33486
Student in an Organized Health Care Education/Training Program
800 MEADOWS RD, FLORIDA ATLANTIC UNIVERSITY INTERNAL MEDICINE RESIDENCY
BOCA RATON, FL 33486
Emergency Medicine (Emergency Medical Services)
800 MEADOWS RD
BOCA RATON, FL 33486
Anesthesiology
800 MEADOWS RD
BOCA RATON, FL 33486
Student in an Organized Health Care Education/Training Program
800 MEADOWS RD
BOCA RATON, FL 33486

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 Larry Hirschfield's NPI number?

The NPI number for Larry Hirschfield is 1437126612. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Larry Hirschfield located?

Larry Hirschfield practices at 800 Meadows Rd, Boca Raton, FL 33486. The listed phone number is (561) 955-4730.

What is Larry Hirschfield's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Larry Hirschfield enrolled in Medicare?

Yes. Larry Hirschfield 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 Larry Hirschfield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Hirschfield reassigns Medicare benefits to 2 organizations: Comprehensive Pathology Associates, P.A. (Boca Raton, FL) and Joseph J Katta MD PA (Fort Pierce, FL). 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 Larry Hirschfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Hirschfield accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Larry Hirschfield 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 Larry Hirschfield affiliated with any hospitals?

According to CMS data, Larry Hirschfield is affiliated with Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Larry Hirschfield was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.