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DR. THOMAS JAMES HERBST MD
NPI 1679571012
Psychiatry & Neurology - Psychiatry in Ann Arbor, MI

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
202 E WASHINGTON ST, STE 708, ANN ARBOR, MI 48104(734) 327-9322 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas James Herbst Md NPPES

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

DR. THOMAS JAMES HERBST MD (NPI 1679571012) is an individual psychiatry provider in Ann Arbor, Michigan, licensed in Michigan (43010577730) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1991).

NPPES Registry Identity

NPI1679571012
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. THOMAS JAMES HERBSTCredential: MD
Location Address202 E WASHINGTON ST, STE 708Ann Arbor, MI 48104-2017
Mailing Address202 E Washington St, Ste 708Ann Arbor, MI 48104-2017 · (734) 327-9322
Phone(734) 327-9322
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 1991
Enumeration DateJuly 11, 2005
Last NPPES UpdateJanuary 17, 2012
✔ NPI 1679571012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 43010577730
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 43010577730 (MI)
202 E WASHINGTON ST, Ann Arbor, MI 48104
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Other Identifiers 4

Other5765659MI · Aetna
Other260811895-2MI · Bcbs-ppo
Medicare ID-Type UnspecifiedON59370MI
Other260811895-1MI · Bcbs Of Mi Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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. Thomas James Herbst 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 ID9931157906
PECOS Enrollment IDI20050106000205
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 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.
143 services21 patients
Psychotherapy with evaluation and management visit, 1 hour 90838
Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.
111 services17 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.
72 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48104 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified
44%27 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%1,694 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
18%317 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
38%119 patients2/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 38% · 262 patients
47%262 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
5%262 patients1/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
30%66 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 34 patients
0%34 patients5/55-star benchmark: 100%
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 20

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

PROF. JANE ANNE HASSINGER MSW, PSYCHOANALYST
Social Worker (Clinical)
202 E WASHINGTON ST, STE. 608
ANN ARBOR, MI 48104
Washtenaw County (734) 761-1015
REBECCA HATTON, PSYD, LICENSED PSYCHOLOGIST
Clinic/Center (Adult Mental Health)
202 E WASHINGTON ST, SUITE 400B
ANN ARBOR, MI 48104
Washtenaw County (734) 709-2183
HSIAO-WEN LO PH.D.
Psychologist (Counseling)
202 E WASHINGTON ST, SUITE 400
ANN ARBOR, MI 48104
Washtenaw County (734) 222-6250
DR. AUDREY M. HERING PH.D.
Psychologist (Clinical)
202 E WASHINGTON ST, SUITE 401
ANN ARBOR, MI 48104
Washtenaw County (734) 645-5163
ANN ARBOR DBT CENTER PLLC
Community/Behavioral Health
202 E WASHINGTON ST, #500
ANN ARBOR, MI 48104
Washtenaw County (734) 680-6425
SOPHIE GROSS
Social Worker
202 E WASHINGTON ST
ANN ARBOR, MI 48104
Washtenaw County (734) 201-5832
JENNIFER VOTTA D.O.
Psychiatry & Neurology (Psychiatry)
202 E WASHINGTON ST
ANN ARBOR, MI 48104
Washtenaw County (734) 328-2492
CARRYN LUND LMSW
Social Worker (Clinical)
202 E WASHINGTON ST, SUITE 408
ANN ARBOR, MI 48104
Washtenaw County (507) 421-5235

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 Thomas Herbst's NPI number?

The NPI number for Thomas Herbst is 1679571012. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Thomas Herbst located?

Thomas Herbst practices at 202 E Washington St Ste 708, Ann Arbor, MI 48104. The listed phone number is (734) 327-9322.

What is Thomas Herbst's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Thomas Herbst enrolled in Medicare?

Yes. Thomas Herbst 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 Thomas Herbst accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Thomas Herbst 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 Thomas Herbst was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.