KIRSTEN HERRERA M.D.
NPI 1598117343
Family Medicine in League City, TX

Q: What is Kirsten Herrera's NPI number?

The NPI number for Kirsten Herrera is 1598117343. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Q: What is Kirsten Herrera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kirsten Herrera was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 05, 2016PECOS EnrolledAccepts Medicare Assignment

74.96/100

CMS Quality Rating

6465 S SHORE BLVD, LEAGUE CITY, TX 77573(281) 538-7735 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kirsten Herrera M.d. NPPES

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

KIRSTEN HERRERA M.D. (NPI 1598117343) is an individual family medicine provider in League City, Texas, licensed in Texas (S3821) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1598117343

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKIRSTEN HERRERACredential: M.D.

Location Address6465 S SHORE BLVDLeague City, TX 77573-5527

Mailing Address6465 S Shore BlvdLeague City, TX 77573-5527 · (281) 538-7735

Phone(281) 538-7735

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 5, 2016

Last NPPES UpdateOctober 28, 2021

NPPES CertifiedOctober 28, 2021

✔ NPI 1598117343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · S3821✔ Licensed in TX · BP10057231

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6465 S SHORE BLVD, League City, TX 77573

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Other Identifiers 1

Medicaid1598117343TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company.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

Kirsten Herrera M.d. 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 ID2567720949

PECOS Enrollment IDI20191203001387

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 3

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.

173 services110 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 services89 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450018

Location301 University BoulevardGalveston, TX 77555 · Galveston County

Emergency services Birthing friendly

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450617

Location500 W Medical Center BlvdWebster, TX 77598 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 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

$88.24 typical visit price

range $57.19 – $173.07

Typical copayment $22.06 (range $14.29 – $43.26)

Most-billed visit code 99203

Established Patient

$100.90 typical visit price

range $18.45 – $141.36

Typical copayment $25.22 (range $4.61 – $35.34)

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.

74.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.77

Promoting Interoperability

Improvement Activities

Cost

47.75

Referred Medical Equipment & Supplies CMS DME claims 3

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

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$25.53 avg. paid by Medicare

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 suppliers16 claims16 services$58.75 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$31.15 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 4

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

MRS. LAURA DAY ELLENDER RN, CEN, FNP-C

Nurse Practitioner (Family)

6465 S SHORE BLVD
LEAGUE CITY, TX 77573

Galveston County (281) 538-7735

DR. OSARHIEMEN A. OMWANGHE MD

Internal Medicine

6465 S SHORE BLVD
LEAGUE CITY, TX 77573

Galveston County (281) 538-7735

JAYSHREE SUSAN THOMAS DO

Family Medicine

6465 S SHORE BLVD
LEAGUE CITY, TX 77573

Galveston County (281) 538-7735

MS. ALICIA BARREN NP

Nurse Practitioner (Family)

6465 S SHORE BLVD
LEAGUE CITY, TX 77573

Galveston County (281) 538-7735

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 Kirsten Herrera's NPI number?

The NPI number for Kirsten Herrera is 1598117343. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Kirsten Herrera located?

Kirsten Herrera practices at 6465 S Shore Blvd, League City, TX 77573. The listed phone number is (281) 538-7735.

What is Kirsten Herrera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kirsten Herrera enrolled in Medicare?

Yes. Kirsten 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 Kirsten Herrera accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Kirsten 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 Kirsten Herrera affiliated with any hospitals?

According to CMS data, Kirsten Herrera is affiliated with University Of Texas Medical Branch Galveston and Hca Houston Healthcare Clear Lake.

When was this NPI record last updated?

The NPPES record for Kirsten Herrera was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.