DR. PETER SIMON HERMAN MD
NPI 1669464285
Dermatology in El Paso, TX

Active since August 19, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0509450 · Certificate of Compliance
4801 ALBERTA AVE, EL PASO, TX 79905(915) 215-5200(915) 215-8640 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter Simon Herman Md NPPES

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

DR. PETER SIMON HERMAN MD (NPI 1669464285) is an individual dermatology provider in El Paso, Texas, licensed in Texas (E3304) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through April 12, 2027, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669464285
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. PETER SIMON HERMANCredential: MD
Location Address4801 ALBERTA AVEEl Paso, TX 79905-2707
Mailing Address5130 Gateway Blvd EEl Paso, TX 79905-1608 · (915) 215-4828 · Fax (915) 215-5386
Fax(915) 215-8640
Sole ProprietorNo
Medical School CMSOtherGraduated 1962
Enumeration DateAugust 19, 2005
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
NPI 1669464285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TX · E3304
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 207N10002X (TX), E3304 (TX)
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X · License E3304 (TX)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License E3304 (TX)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License E3304 (TX)
4801 ALBERTA AVE, El Paso, TX 79905

Secondary Practice Locations 2

Location 12100 N Mesa, Peter S Herman MD PAEl Paso, TX 79902-3312 · Phone (915) 544-3800 · Fax (915) 544-3008
Location 22000 Transmountain Rd Ste BEl Paso, TX 79911-3602 · Phone (915) 215-8400 · Fax (915) 612-9254

Other Identifiers 1

Other8P2920TX · Bcbs

Accepted 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

Dr. Peter Simon Herman Md 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 ID1254394257
PECOS Enrollment IDI20041111000064
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D0509450

Peter S Herman MD PA · El Paso, TX
Active · expires Apr 12, 2027
CLIA Number45D0509450
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorPeter S. Herman
Laboratory Phone(915) 544-3800
Laboratory LocationPeter S Herman MD PA2100 N Mesa St, El Paso, TX 79902
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 7

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 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.
229 services95 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
146 services26 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
62 services33 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.
43 services19 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.
41 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

Nurse Practitioner (Family)
4801 ALBERTA AVE
EL PASO, TX 79905
Internal Medicine (Gastroenterology)
4801 ALBERTA AVE
EL PASO, TX 79905
Emergency Medicine
4801 ALBERTA AVE
EL PASO, TX 79905
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
Emergency Medicine
4801 ALBERTA AVE, STE. B3200
EL PASO, TX 79905

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 Peter Herman's NPI number?

The NPI number for Peter Herman is 1669464285. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Peter Herman located?

Peter Herman practices at 4801 Alberta Ave, El Paso, TX 79905. The listed phone number is (915) 215-5200.

What is Peter Herman's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Peter Herman enrolled in Medicare?

Yes. Peter 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.

Does Peter Herman hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0509450) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peter Herman accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Peter Herman 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.

When was this NPI record last updated?

The NPPES record for Peter Herman was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.