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RICHARD S HERDENER M.D.
NPI 1457326365
Dermatology in Spokane, WA

Active since February 22, 2006PECOS Enrolled
510 S COWLEY ST STE 201, SPOKANE, WA 99202(509) 252-1299 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 27, 2024, Apr 12, 2022 (2 updates tracked since 2022).

About Richard S Herdener M.d. NPPES

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

RICHARD S HERDENER M.D. (NPI 1457326365) is an individual dermatology provider in Spokane, Washington, licensed in Washington (MD00023695) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Palm Beach, and is a graduate of University Of Washington School Of Medicine (1976).

NPPES Registry Identity

NPI1457326365
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameRICHARD S HERDENERCredential: M.D.
Location Address510 S COWLEY ST STE 201Spokane, WA 99202-1332
Mailing Address2706 S Thierman LnSpokane, WA 99223-5057 · (509) 456-8444 · Fax (509) 455-9227
Phone(509) 252-1299
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1976
Enumeration DateFebruary 22, 2006
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1457326365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WA · MD00023695
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
510 S COWLEY ST STE 201, Spokane, WA 99202
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Secondary Practice Location 1

Location 1120 S Olive Ave # 116West Palm Beach, FL 33401-5501 · Phone (561) 223-6268 · Fax (561) 223-6239

Other Identifiers 2

OtherO1942FL · Medicare Ptan
Medicaid1030170WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard S Herdener M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608847645
PECOS Enrollment IDI20040804000064
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 Richard Herdener reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Dermatology Co
247 mi
Dermatology
275 SE CABOT DR STE A3
Oak Harbor, WA 98277
  • Reassigned Medicare billing, Washington enrollment
  • 7 clinicians in this Medicare group
NPI 1275816910 (360) 682-5024
Marianne Carroll Do PA
2,479 mi
Dermatology
120 S OLIVE AVE, SUITE 116
West Palm Beach, FL 33401
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1114386869 (561) 557-9998

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 8

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
176 services44 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.
122 services104 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
68 services64 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
54 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services34 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
32 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99202 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 3

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

CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY
Dermatology
510 S COWLEY ST STE 201
SPOKANE, WA 99202
Spokane County (509) 252-1299
DR. JOHN KAMRAN NIA M.D.
Dermatology (MOHS-Micrographic Surgery)
510 S COWLEY ST STE 201
SPOKANE, WA 99202
Spokane County (509) 252-1299
CHESNUT MD
Dermatology
510 S COWLEY ST STE 201
SPOKANE, WA 99202
Spokane County (509) 252-1299

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 Richard Herdener's NPI number?

The NPI number for Richard Herdener is 1457326365. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Richard Herdener located?

Richard Herdener practices at 510 S Cowley St Ste 201, Spokane, WA 99202. The listed phone number is (509) 252-1299.

What is Richard Herdener's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Richard Herdener enrolled in Medicare?

Yes. Richard Herdener is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Herdener's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Herdener reassigns Medicare benefits to 2 organizations: Family Dermatology Co (Oak Harbor, WA) and Marianne Carroll Do PA (West Palm Beach, 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 Richard Herdener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Herdener accept?

Health plans from Ambetter Health list Richard Herdener 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.

When was this NPI record last updated?

The NPPES record for Richard Herdener was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.