LAWRENCE L HERMAN M.D.
NPI 1609955202
Internal Medicine - Gastroenterology in New York, NY

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
25.22/100
CMS Quality Rating
121 E 60TH ST APT 9B, NEW YORK, NY 10022(212) 230-1144(212) 230-1592 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lawrence L Herman M.d. NPPES

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

LAWRENCE L HERMAN M.D. (NPI 1609955202) is an individual gastroenterology provider in New York, New York, licensed in New York (176229) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (1987).

NPPES Registry Identity

NPI1609955202
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameLAWRENCE L HERMANCredential: M.D.
Location Address121 E 60TH ST APT 9BNew York, NY 10022-1198
Mailing Address121 E 60th St Apt 9bNew York, NY 10022-1198 · (212) 230-1144 · Fax (212) 230-1592
Fax(212) 230-1592
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1987
Enumeration DateNovember 3, 2006
Last NPPES UpdateOctober 30, 2007
NPI 1609955202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 176229
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

121 E 60TH ST APT 9B, New York, NY 10022

Other Identifiers 2

Medicare UPINF32052NY
Medicare PINLH064K0510NY

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

Lawrence L 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 ID5890693030
PECOS Enrollment IDI20111223000038
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 29

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.

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
352 services53 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.
317 services178 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
281 services51 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
275 services176 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
229 services61 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
207 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

25.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality31.66
Improvement Activities0
Cost41.87

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
92%65 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
97%403 patients4/55-star benchmark: 99%
Photodocumentation of Cecal Intubation
The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination
100%88 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 2

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

Internal Medicine (Gastroenterology)
121 E 60TH ST APT 9B
NEW YORK, NY 10022
Internal Medicine (Gastroenterology)
121 E 60TH ST APT 9B
NEW YORK, NY 10022

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 Lawrence Herman's NPI number?

The NPI number for Lawrence Herman is 1609955202. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Lawrence Herman located?

Lawrence Herman practices at 121 E 60th St Apt 9B, New York, NY 10022. The listed phone number is (212) 230-1144.

What is Lawrence Herman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Lawrence Herman enrolled in Medicare?

Yes. Lawrence 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.

When was this NPI record last updated?

The NPPES record for Lawrence Herman was last updated on October 30, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.