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WILLIAM J HERINGER MD
NPI 1528173127
Internal Medicine in Solvang, CA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
16.91/100
CMS Quality Rating
2030 VIBORG RD STE 201, SOLVANG, CA 93463(805) 688-7200(805) 688-2894 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About William J Heringer Md NPPES

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

WILLIAM J HERINGER MD (NPI 1528173127) is an individual internal medicine provider in Solvang, California, licensed in California (G38247) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1977).

NPPES Registry Identity

NPI1528173127
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameWILLIAM J HERINGERCredential: MD
Location Address2030 VIBORG RD STE 201Solvang, CA 93463-3226
Mailing Address2030 Viborg Rd Ste 201Solvang, CA 93463-3226 · (805) 688-7200 · Fax (805) 688-2894
Phone(805) 688-7200
Fax(805) 688-2894
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1977
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1528173127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G38247
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.
2030 VIBORG RD STE 201, Solvang, CA 93463
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Other Identifiers 1

Medicaid00G382470CA

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

William J Heringer 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 ID6002708971
PECOS Enrollment IDI20100218000235
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 Reassignment

Medicare enrollment records show William Heringer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

William J Heringer MD A Professional Medical Corporation
Same address
Primary Care
2030 VIBORG RD STE 201
Solvang, CA 93463
  • Reassigned Medicare billing, California enrollment
NPI 1578107686 (805) 688-7200

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 13

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.
541 services177 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.
174 services134 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
151 services87 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
131 services76 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
123 services123 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
116 services115 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93463 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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.

16.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost56.36

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers35 claims35 services$86.05 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.23 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

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

WILLIAM J HERINGER MD A PROFESSIONAL MEDICAL CORPORATION
Clinic/Center (Primary Care)
2030 VIBORG RD STE 201
SOLVANG, CA 93463
Santa Barbara County (805) 688-7200

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 William Heringer's NPI number?

The NPI number for William Heringer is 1528173127. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is William Heringer located?

William Heringer practices at 2030 Viborg Rd Ste 201, Solvang, CA 93463. The listed phone number is (805) 688-7200.

What is William Heringer's specialty?

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

Is William Heringer enrolled in Medicare?

Yes. William Heringer 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 organization bills Medicare for William Heringer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Heringer reassigns Medicare benefits to William J Heringer MD A Professional Medical Corporation (Solvang, CA). The 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 William Heringer'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 William Heringer was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.