SETH HERMAN M.D.
NPI 1609041441
Physical Medicine & Rehabilitation - Brain Injury Medicine in Los Angeles, CA

Q: What is Seth Herman's NPI number?

The NPI number for Seth Herman is 1609041441. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Q: What is Seth Herman's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Brain Injury Medicine, with taxonomy code 2081P0301X.

Q: When was this NPI record last updated?

The NPPES record for Seth Herman was last updated on August 7, 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.

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment

85.71/100

CMS Quality Rating

2080 CENTURY PARK E STE 300, LOS ANGELES, CA 90067(424) 522-7100(424) 522-7900 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2020, May 27, 2020 (2 updates tracked since 2020).

On this page

About Seth Herman M.d. NPPES

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

SETH HERMAN M.D. (NPI 1609041441) is an individual brain injury medicine provider in Los Angeles, California, licensed in California (C161882) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1609041441

Entity TypeIndividualMale

Primary Taxonomy2081P0301X

Provider Legal NameSETH HERMANCredential: M.D.

Location Address2080 CENTURY PARK E STE 300Los Angeles, CA 90067-2006

Mailing Address51 Winchester St # 3Brookline, MA 02446-2748

Phone(424) 522-7100

Fax(424) 522-7900

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateApril 23, 2008

Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration

NPPES CertifiedAugust 7, 2020

✔ NPI 1609041441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Brain Injury MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0301X

License✔ Licensed in CA · C161882

Definition

A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License C161882 (CA), 243525 (MA)

2080 CENTURY PARK E STE 300, Los Angeles, CA 90067

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Secondary Practice Location 1

Location 1125 Nashua StBoston, MA 02114-1101 · Phone (312) 573-2200 · Fax (312) 573-2229

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

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

Seth 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 ID9436274008

PECOS Enrollment IDI20200601002695

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 Seth Herman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cedars-Sinai Medical Care Foundation

2.2 mi

Anesthesiology

8700 BEVERLY BLVD STE SB-290
Los Angeles, CA 90048

Reassigned Medicare billing, California enrollment
2,118 clinicians in this Medicare group

NPI 1043826720 (310) 423-1447

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.

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.

1,860 services309 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.

414 services184 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.

224 services196 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

179 services172 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.

86 services45 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.

66 services56 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.

42 services32 patients

Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity 64642

This procedure involves injecting a chemical into specific muscles in your arm or leg, causing temporary paralysis. It targets 1-4 muscles in the first extremity. It's often used to manage conditions that cause muscle spasms or overactivity.

26 services11 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services24 patients

Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874

This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.

23 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

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.

85.71/100

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

Scored as part of a group practice

Quality

85.67

Promoting Interoperability

100

Improvement Activities

Cost

61.47

Referred Medical Equipment & Supplies CMS DME claims 10

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier30 claims30 services$44.27 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier58 claims58 services$44.07 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier18 claims18 services$36.98 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

1 supplier15 claims15 services$14.04 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier15 claims15 services$14.34 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

1 supplier28 claims28 services$173.33 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 10

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

HARDIK PRABODH PARIKH MD

Physical Medicine & Rehabilitation