ANTHONY JOSEPH HERRERA M.D.
NPI 1720220049
Radiology - Diagnostic Radiology in Honolulu, HI

Active since April 01, 2009PECOS EnrolledAccepts Medicare Assignment
94.18/100
CMS Quality Rating
1301 PUNCHBOWL ST, HONOLULU, HI 96813(808) 691-4300 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Joseph Herrera M.d. NPPES

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

ANTHONY JOSEPH HERRERA M.D. (NPI 1720220049) is an individual diagnostic radiology provider in Honolulu, Hawaii, licensed in Hawaii (MD17517) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Baylor College Of Medicine (2008).

NPPES Registry Identity

NPI1720220049
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameANTHONY JOSEPH HERRERACredential: M.D.
Location Address1301 PUNCHBOWL STHonolulu, HI 96813-2402
Mailing Address200 W Arbor DrSan Diego, CA 92103-9001 · (619) 543-6272
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2008
Enumeration DateApril 1, 2009
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
NPI 1720220049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in HI · MD17517
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1301 PUNCHBOWL ST, Honolulu, HI 96813

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

Anthony Joseph Herrera 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 ID4981827565
PECOS Enrollment IDI20140529001240
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 51

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
345 services326 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
271 services254 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
258 services243 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
239 services230 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
239 services236 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
221 services215 patients

Hospital Affiliations CMS Care Compare 4

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · Honolulu County
Emergency services

North Hawaii Community Hospital, Inc

Acute Care Hospitals · Kamuela, HI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120028
Location67 1125 Mamalahoa HighwayKamuela, HI 96743 · Hawaii County
Emergency services Birthing friendly

Molokai General Hospital

Critical Access Hospitals · Kaunakakai, HI
OwnershipVoluntary non-profit - Private
CMS Certification Number121303
Location280 Home Olu PlaceKaunakakai, HI 96748 · Maui County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

94.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.28
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

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.
82%67 patients2/55-star benchmark: 100%
Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computed Tomography (CT) Imaging Description
Percentage of computed tomography (CT) imaging reports for all patients, regardless of age, with the imaging study named according to a standardized nomenclature and the standardized nomenclature is used in institution's computer systems
100%2,315 patients
Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy
Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)
100%668 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.

Internal Medicine (Critical Care Medicine)
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Internal Medicine (Pulmonary Disease)
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Hospitalist
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Physician Assistant
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Psychiatric Hospital
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Specialist
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Physical Therapist
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Psychiatry & Neurology (Psychiatry)
1301 PUNCHBOWL ST
HONOLULU, HI 96813

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 Anthony Herrera's NPI number?

The NPI number for Anthony Herrera is 1720220049. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Anthony Herrera located?

Anthony Herrera practices at 1301 Punchbowl St, Honolulu, HI 96813. The listed phone number is (808) 691-4300.

What is Anthony Herrera's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Anthony Herrera enrolled in Medicare?

Yes. Anthony Herrera 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 Anthony Herrera accept?

Health plans from Blue Cross and Blue Shield of Texas list Anthony Herrera 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.

Is Anthony Herrera affiliated with any hospitals?

According to CMS data, Anthony Herrera is affiliated with The Queens Medical Center, Straub Clinic And Hospital, North Hawaii Community Hospital, Inc and Molokai General Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Herrera was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.