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DIEGO FERNANDO HERRERA DO
NPI 1528623535
Family Medicine - Sports Medicine in Dawsonville, GA

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment
81 NORTHSIDE DAWSON DR STE 100, DAWSONVILLE, GA 30534(855) 647-7678(404) 847-4232 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2025, May 15, 2024, Jan 24, 2023 and 3 more (6 updates tracked since 2019).

About Diego Fernando Herrera Do NPPES

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

DIEGO FERNANDO HERRERA DO (NPI 1528623535) is an individual sports medicine provider in Dawsonville, Georgia, licensed in Georgia (89688) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1528623535
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDIEGO FERNANDO HERRERACredential: DO
Location Address81 NORTHSIDE DAWSON DR STE 100Dawsonville, GA 30534-7164
Mailing Address81 Northside Dawson Dr Ste 100Dawsonville, GA 30534-7164 · (404) 847-4230 · Fax (404) 847-4232
Phone(855) 647-7678
Fax(404) 847-4232
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 6, 2019
Last NPPES UpdateJune 5, 20256 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1528623535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in GA · 89688
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 89688 (GA)
81 NORTHSIDE DAWSON DR STE 100, Dawsonville, GA 30534
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Diego Fernando Herrera Do 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 ID345576567
PECOS Enrollment IDI20230721000830
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.

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.
86 services61 patients
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.
51 services49 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30534 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 4

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

MRS. CHRISTINE ANN MILO FNP-BC
Nurse Practitioner
81 NORTHSIDE DAWSON DR STE 100
DAWSONVILLE, GA 30534
Dawson County (706) 216-6000
ELIZABETH GRACE GRIFFITH
Nurse Practitioner (Family)
81 NORTHSIDE DAWSON DR STE 100
DAWSONVILLE, GA 30534
Dawson County (770) 216-6000
MR. JOHN T MACLACHLAN FNP-BC
Nurse Practitioner
81 NORTHSIDE DAWSON DR STE 100
DAWSONVILLE, GA 30534
Dawson County (706) 216-6000
SANIYA AHMED PA-C
Physician Assistant
81 NORTHSIDE DAWSON DR STE 100
DAWSONVILLE, GA 30534
Dawson County (678) 225-7500

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 Diego Herrera's NPI number?

The NPI number for Diego Herrera is 1528623535. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Diego Herrera located?

Diego Herrera practices at 81 Northside Dawson Dr Ste 100, Dawsonville, GA 30534. The listed phone number is (855) 647-7678.

What is Diego Herrera's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Diego Herrera enrolled in Medicare?

Yes. Diego Herrera 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.

What insurance does Diego Herrera accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Diego Herrera 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 Diego Herrera affiliated with any hospitals?

According to CMS data, Diego Herrera is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Diego Herrera was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.