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KIM R HERMAN M.D.
NPI 1679757330
Family Medicine in Denton, MD

Active since December 18, 2007PECOS EnrolledAccepts Medicare Assignment
86.67/100
CMS Quality Rating
836 S 5TH AVE, DENTON, MD 21629(410) 479-5900 Get Directions Write a Review

NPPES record last updated: August 12, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kim R Herman M.d. NPPES

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

KIM R HERMAN M.D. (NPI 1679757330) is an individual family medicine provider in Denton, Maryland, licensed in Maryland (D71196) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1679757330
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIM R HERMANCredential: M.D.
Location Address836 S 5TH AVEDenton, MD 21629
Mailing Address920 Elkridge Landing RdLinthicum, MD 21090-2917 · (443) 462-5010
Phone(410) 479-5900
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 18, 2007
Last NPPES UpdateAugust 12, 2018
✔ NPI 1679757330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D71196✔ Licensed in OH · 35090542
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
836 S 5TH AVE, Denton, MD 21629
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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

Kim R 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 ID2668555186
PECOS Enrollment IDI20110516000826
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 Kim Herman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Maryland Community Medical Group, Inc.
47 mi
Surgical
301 HOSPITAL DR
Glen Burnie, MD 21061
  • Reassigned Medicare billing, Maryland enrollment
  • 966 clinicians in this Medicare group
NPI 1295367894 (410) 787-4000

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 13

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 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.
778 services365 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
225 services225 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.
184 services133 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
180 services180 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.
148 services148 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
77 services77 patients

Hospital Affiliations CMS Care Compare 3

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

University Of MD Shore Medical Ctr At Chestertown

Acute Care Hospitals · Chestertown, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210030
Location100 Brown StreetChestertown, MD 21620 · Kent County
Emergency services

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21629 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

86.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.03
Promoting Interoperability100
Improvement Activities40
Cost65.53

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers88 claims188 services$6.03 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers17 claims17 services$2.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers52 claims60 services$0.94 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$12.96 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers22 claims22 services$176.65 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 3

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

WAFIK I ZAKI M.D.
Family Medicine
836 S 5TH AVE
DENTON, MD 21629
Caroline County (410) 479-5900
DR. KATHERINE AMATA COOK MD
Family Medicine
836 S 5TH AVE
DENTON, MD 21629
Caroline County (410) 479-0434
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Family Medicine
836 S 5TH AVE
DENTON, MD 21629
Caroline County (410) 479-5900

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 Kim Herman's NPI number?

The NPI number for Kim Herman is 1679757330. It was assigned to this individual provider in the NPPES registry on December 18, 2007.

Where is Kim Herman located?

Kim Herman practices at 836 S 5th Ave, Denton, MD 21629. The listed phone number is (410) 479-5900.

What is Kim Herman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kim Herman enrolled in Medicare?

Yes. Kim 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 organization bills Medicare for Kim Herman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Herman reassigns Medicare benefits to University Of Maryland Community Medical Group, Inc. (Glen Burnie, MD). The 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 Kim Herman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kim Herman affiliated with any hospitals?

According to CMS data, Kim Herman is affiliated with Johns Hopkins Hospital, The, University Of MD Shore Medical Ctr At Chestertown and University Of MD Shore Medical Center At Easton.

When was this NPI record last updated?

The NPPES record for Kim Herman was last updated on August 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.