MARTIN JOSEPH HERMAN M.D.
NPI 1710924030
Orthopaedic Surgery in Philadelphia, PA
About Martin Joseph Herman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTIN JOSEPH HERMAN M.D. (NPI 1710924030) is an individual orthopaedic surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD059614L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Columbia University College Of Physicians And Surgeons (1990).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Martin Joseph 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.
Medicare Billing Reassignments
3Medicare enrollment records show Martin Herman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
- Also billed through NPI 1972299741 (New Jersey)
- 479 clinicians in this Medicare group
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Trenton, NJ 08638
- Reassigned Medicare billing, New Jersey enrollment
- 581 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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 Martin Herman's NPI number?
The NPI number for Martin Herman is 1710924030. It was assigned to this individual provider in the NPPES registry on June 2, 2006.
Where is Martin Herman located?
Martin Herman practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (484) 628-1324.
What is Martin Herman's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Martin Herman enrolled in Medicare?
Yes. Martin 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 organizations bill Medicare for Martin Herman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martin Herman reassigns Medicare benefits to 3 organizations: Stc Pediatrics LLC (Philadelphia, PA), Tower Health Medical Group (Philadelphia, PA) and Capital Health Medical Group (Trenton, NJ). Each 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 Martin Herman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Martin Herman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Martin 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 Martin Herman was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Martin Joseph Herman, M.D. · NPI 1710924030
Orthopaedic Surgery physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 2, 2006.
## Identity
- **NPI:** 1710924030 (Entity type: Individual)
- **Enumerated:** June 2, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MD059614L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E ERIE AVE, Philadelphia, PA 19134-1011
- **Phone:** (484) 628-1324
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Stc Pediatrics LLC (NPI 1346884574, Philadelphia, PA); Tower Health Medical Group (NPI 1306476924, Philadelphia, PA); Capital Health Medical Group (NPI 1437516887, Trenton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 1990
## Record status
- **NPPES last updated:** May 15, 2024
- **Other identifiers:** Medicaid 00116256510023 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1710924030) · Data from the CMS NPPES public registry.