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DR. HERBERT M JUARBE MD
NPI 1437242567
Internal Medicine - Endocrinology, Diabetes & Metabolism in Gaithersburg, MD

Active since October 02, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 21D1064464 · Waiver
75/100
CMS Quality Rating
806 W DIAMOND AVE, SUITE 310, GAITHERSBURG, MD 20878(301) 977-0056(301) 977-5151 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Herbert M Juarbe Md NPPES

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

DR. HERBERT M JUARBE MD (NPI 1437242567) is an individual endocrinology, diabetes & metabolism provider in Gaithersburg, Maryland, licensed in Maryland (D0031720) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 5, 2027, and is affiliated with Frederick Health Hospital.

NPPES Registry Identity

NPI1437242567
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. HERBERT M JUARBECredential: MD
Location Address806 W DIAMOND AVE, SUITE 310Gaithersburg, MD 20878-1415
Mailing Address806 W Diamond Ave, Suite 310Gaithersburg, MD 20878-1415 · (301) 977-0056 · Fax (301) 977-5151
Phone(301) 977-0056
Fax(301) 977-5151
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 29, 2008
✔ NPI 1437242567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MD · D0031720
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
806 W DIAMOND AVE, Gaithersburg, MD 20878
Open in Google Maps ↗

Other Identifiers 4

Medicaid465071900MD
Medicare ID-Type Unspecified031774M56
Medicare UPINB92883
Medicare PING02487H01DC

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. Herbert M Juarbe 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 ID2062519176
PECOS Enrollment IDI20070524000647
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1064464

Herbert M Juarbe MD PC · Gaithersburg, MD
Active · expires Feb 5, 2027
CLIA Number21D1064464
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorHerbert M. Juarbe MD
Laboratory Phone(301) 977-0056
Laboratory LocationHerbert M Juarbe MD PCSte 310 806 W Diamond Ave, Gaithersburg, MD 20878
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
1,295 services542 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
276 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
163 services131 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.
73 services59 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250
This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.
50 services35 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
46 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210057
Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20878 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
90%951 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
83%817 patients4/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
98%814 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,776 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
59%2,805 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%1,364 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
12%1,221 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,221 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
78%1,221 patients4/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers20 claims239 services$16.46 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers21 claims670 services$2.07 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims13 services$91.72 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
68 suppliers305 claims1,146 services$6.11 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers14 claims14 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
48 suppliers137 claims216 services$1.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

DR. AARON ROSS CHIDAKEL M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
806 W DIAMOND AVE, SUITE 310
GAITHERSBURG, MD 20878
Montgomery County (301) 977-0056
BRITTANY LUNDBERG
Physician Assistant
806 W DIAMOND AVE, SUITE #110
GAITHERSBURG, MD 20878
Montgomery County (301) 515-2902
DR. NASIM NICHOLE REEDY D.O.
Allergy & Immunology
806 W DIAMOND AVE, SUITE 310
GAITHERSBURG, MD 20878
Montgomery County (727) 215-7280
WASHINGTON ENDOCRINOLOGY PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
806 W DIAMOND AVE, SUITE 310
GAITHERSBURG, MD 20878
Montgomery County (301) 977-0056
FAMILY ENT ALLERGY AND ASTHMA CENTER PC
Specialist
806 W DIAMOND AVE, SUITE 360
GAITHERSBURG, MD 20878
Montgomery County (301) 948-4066
DOCTORS FIRST PROFESSIONAL CORPORATION
Clinic/Center (Primary Care)
806 W DIAMOND AVE, SUITE 110
GAITHERSBURG, MD 20878
Montgomery County (301) 515-2901
NAVEEN KWATRA, DDS, PC
Dentist (Pediatric Dentistry)
806 W DIAMOND AVE, SUITE 250
GAITHERSBURG, MD 20878
Montgomery County (301) 977-2200
FATIMA GHADIALLY PT
Physical Therapist
806 W DIAMOND AVE
GAITHERSBURG, MD 20878
Montgomery County (240) 498-7490

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 Herbert Juarbe's NPI number?

The NPI number for Herbert Juarbe is 1437242567. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Herbert Juarbe located?

Herbert Juarbe practices at 806 W Diamond Ave Suite 310, Gaithersburg, MD 20878. The listed phone number is (301) 977-0056.

What is Herbert Juarbe's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Herbert Juarbe enrolled in Medicare?

Yes. Herbert Juarbe 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.

Does Herbert Juarbe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1064464) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Herbert Juarbe affiliated with any hospitals?

According to CMS data, Herbert Juarbe is affiliated with Frederick Health Hospital and Adventist Healthcare Shady Grove Medical Center.

When was this NPI record last updated?

The NPPES record for Herbert Juarbe was last updated on July 29, 2008. 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.