VINCENT BRENDAN HERLIHY M.D.
NPI 1558533356
Radiology - Diagnostic Radiology in Denver, CO

Active since April 01, 2008PECOS Enrolled
83.81/100
CMS Quality Rating
938 BANNOCK ST, STE 300, DENVER, CO 80204(303) 716-3787(303) 716-3777 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vincent Brendan Herlihy M.d. NPPES

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

VINCENT BRENDAN HERLIHY M.D. (NPI 1558533356) is an individual diagnostic radiology provider in Denver, Colorado, licensed in Colorado (47783) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with St James Healthcare, and is a graduate of University Of Virginia School Of Medicine (2003).

NPPES Registry Identity

NPI1558533356
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameVINCENT BRENDAN HERLIHYCredential: M.D.
Location Address938 BANNOCK ST, STE 300Denver, CO 80204-4028
Mailing Address1746 Cole Blvd, Ste 150Lakewood, CO 80401-3208 · (303) 716-3787 · Fax (303) 716-3777
Fax(303) 716-3777
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2003
Enumeration DateApril 1, 2008
Last NPPES UpdateFebruary 4, 2011
✔ NPI 1558533356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CO · 47783✔ Licensed in UT · 6918010-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
938 BANNOCK ST, Denver, CO 80204

Other Identifiers 4

Medicare PINP00879544CO
Medicare PINP00772608CO
Medicare PINCO305142CO
Medicare PINCO305151CO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vincent Brendan Herlihy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163591868
PECOS Enrollment IDI20090713000507
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

12

Medicare enrollment records show Vincent Herlihy reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
8101 E LOWRY BLVD STE 120
Denver, CO 80230
  • Reassigned Medicare billing, Colorado enrollment
  • 395 clinicians in this Medicare group
Internal Medicine
10350 E DAKOTA AVE
Denver, CO 80247
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Colorado Permanente Medical Group PC
  • 1,715 clinicians in this Medicare group
Diagnostic Radiology
1746 COLE BLVD, SUITE 150
Lakewood, CO 80401
  • Reassigned Medicare billing, Colorado enrollment
  • 70 clinicians in this Medicare group
Radiology
1610 PRAIRIE CENTER PKWY, 2100
Brighton, CO 80601
  • Reassigned Medicare billing, Colorado enrollment
  • 82 clinicians in this Medicare group
Clinic/Center
365 DILLON RIDGE RD, STE 100
Dillon, CO 80435
  • Reassigned Medicare billing, Colorado enrollment
  • 194 clinicians in this Medicare group
Diagnostic Radiology
677 N WILMOT RD
Tucson, AZ 85711
  • Reassigned Medicare billing, Colorado enrollment
  • 58 clinicians in this Medicare group
Radiology
3921 JOHNS CREEK CT, SUITE B
Johns Creek, GA 30024
  • Reassigned Medicare billing, Colorado enrollment
  • 31 clinicians in this Medicare group
Radiology
1640 JESSE JEWELL PKWY SE STE 2
Gainesville, GA 30501
  • Reassigned Medicare billing, Colorado enrollment
  • 53 clinicians in this Medicare group
Radiology
1501 MILSTEAD RD NE STE 140
Conyers, GA 30012
  • Reassigned Medicare billing, Colorado enrollment
  • 29 clinicians in this Medicare group
Diagnostic Radiology
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
  • Reassigned Medicare billing, Colorado enrollment
  • 8 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 11

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.

Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
294 services147 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
175 services102 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
159 services93 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
80 services79 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
80 services76 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
78 services76 patients

Hospital Affiliations CMS Care Compare 2

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

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Hampton Regional Medical Center

Acute Care Hospitals · Varnville, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420072
Location595 West Carolina AvenueVarnville, SC 29944 · Hampton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80204 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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.

83.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.28
Improvement Activities40
Cost67.44

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%84 patients
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.

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 (Vascular & Interventional Radiology)
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiology (Diagnostic Radiology)
938 BANNOCK ST, STE. 300
DENVER, CO 80204
Radiology (Body Imaging)
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiology (Nuclear Radiology)
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiology (Diagnostic Radiology)
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiology (Diagnostic Radiology)
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiologic Technologist
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiologic Technologist
938 BANNOCK ST, STE 300
DENVER, CO 80204

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 Vincent Herlihy's NPI number?

The NPI number for Vincent Herlihy is 1558533356. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Vincent Herlihy located?

Vincent Herlihy practices at 938 Bannock St Ste 300, Denver, CO 80204. The listed phone number is (303) 716-3787.

What is Vincent Herlihy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Vincent Herlihy enrolled in Medicare?

Yes. Vincent Herlihy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vincent Herlihy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Herlihy reassigns Medicare benefits to 12 organizations: Orthopedic Centers Of Colorado, LLC (Denver, CO), Colorado Permanente Medical Group, P.C. (Denver, CO), Diversified Radiology Of Colorado, Inc (Lakewood, CO), Spectrum Medical Imaging, LLC (Brighton, CO), Vail Clinic Inc (Dillon, CO) and 7 more organizations, listed in the Medicare section above. 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 Vincent Herlihy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vincent Herlihy accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 4 other insurers list Vincent Herlihy 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 Vincent Herlihy affiliated with any hospitals?

According to CMS data, Vincent Herlihy is affiliated with St James Healthcare and Hampton Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Vincent Herlihy was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.