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DR. ADAM DAVID HERMAN M.D.
NPI 1598728784
Internal Medicine - Hospice and Palliative Medicine in Rochester, NY

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-7274(585) 922-2908 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Adam David Herman M.d. NPPES

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

DR. ADAM DAVID HERMAN M.D. (NPI 1598728784) is an individual hospice and palliative medicine provider in Rochester, New York, licensed in New York (60-256544) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of University Of Virginia School Of Medicine (2002).

NPPES Registry Identity

NPI1598728784
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDR. ADAM DAVID HERMANCredential: M.D.
Location Address1425 PORTLAND AVERochester, NY 14621-3001
Mailing Address1425 Portland AveRochester, NY 14621-3001 · (585) 922-7274 · Fax (585) 922-2908
Phone(585) 922-7274
Fax(585) 922-2908
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2002
Enumeration DateApril 10, 2006
Last NPPES UpdateJune 24, 2019
✔ NPI 1598728784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in NY · 60-256544
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 256544 (NY)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 60-256544 (NY)
1425 PORTLAND AVE, Rochester, NY 14621
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Other Identifiers 1

Medicaid03208371NY

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

Dr. Adam David Herman 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 ID6901820273
PECOS Enrollment IDI20100701000441
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 Adam Herman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital
0.1 mi
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1063531929 (585) 922-4000
The Unity Hospital Of Rochester
0.9 mi
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1457395766 (585) 922-1900

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services31 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
34 services31 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
25 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

DR. NIAZ AHMED D.D.S.
Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
DR. BRIAN JOHN THOMAS D.O.
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4159
LISA NICOLE FRONCZAK PA-C
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Monroe County (585) 922-4000
ANDREW ROTANDO DO
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-3469
ALEXANDER VAZZANO MD
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4638
AMY BODROG MD
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4020
NUMRA ASLAM BAJWA MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-5067
DR. PRAKASH UPRETI MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (295) 029-8769

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 Adam Herman's NPI number?

The NPI number for Adam Herman is 1598728784. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Adam Herman located?

Adam Herman practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-7274.

What is Adam Herman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Adam Herman enrolled in Medicare?

Yes. Adam Herman 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 organizations bill Medicare for Adam Herman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Herman reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Rochester, NY) and The Unity Hospital Of Rochester (Rochester, NY). 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 Adam Herman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Adam Herman affiliated with any hospitals?

According to CMS data, Adam Herman is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Adam Herman was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.