WILLIAM G HERRERA M.D.
NPI 1730181645
Psychiatry & Neurology - Neurology in Colorado Springs, CO

NPI Status: Active since August 10, 2005

Contact Information

175 S UNION BLVD
SUITE 310
COLORADO SPRINGS, CO
ZIP 80910
Phone: (719) 473-3272
Fax: (719) 389-1191

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neurology
  • PECOS Enrolled

About WILLIAM HERRERA

This page provides the complete NPI Profile along with additional information for William Herrera, a provider established in Colorado Springs, Colorado with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1730181645 assigned on August 2005. The practitioner's primary taxonomy code is 2084N0400X with license number 26506 (CO). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1730181645
Provider Name
WILLIAM G HERRERA M.D.
Gender
Male
Entity Type
Individual
Location Address
175 S UNION BLVD SUITE 310 COLORADO SPRINGS, CO 80910
Location Phone
(719) 473-3272
Location Fax
(719) 389-1191
Mailing Address
175 S UNION BLVD SUITE 310 COLORADO SPRINGS, CO 80910
Mailing Phone
(719) 473-3272
Mailing Fax
(719) 389-1191
Is Sole Proprietor?
No
Enumeration Date
08-10-2005
Last Update Date
04-20-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
26506
License State
CO
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E50091MEDICARE UPIN (02)CO 
01265065MEDICAID (05)CO 

Medicare Participation & PECOS Enrollment Status

William Herrera is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 18 times for 16 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 11 times for 11 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 80910 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $132.55
  • Minimum New Patient Price $58.06
  • Maximum New Patient Price $174.82
  • Average New Patient Copayment $33.13
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $43.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.03
  • Minimum Established Patient Price $18.88
  • Maximum Established Patient Price $142.79
  • Average Established Patient Copayment $25.5
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $35.69

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730181645, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 2 + 8 + 2 + 6 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1730181645.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
175 S UNION BLVD, STE 370
COLORADO SPRINGS, CO 80910
Nurse Practitioner (Gerontology)
175 S UNION BLVD, SUITE # 350
COLORADO SPRINGS, CO 80910
Clinic/Center (Ambulatory Surgical)
175 S UNION BLVD, STE 100
COLORADO SPRINGS, CO 80910
Internal Medicine
175 S UNION BLVD, STE 350
COLORADO SPRINGS, CO 80910
Internal Medicine
175 S UNION BLVD, STE 350
COLORADO SPRINGS, CO 80910
Internal Medicine
175 S UNION BLVD, STE 350
COLORADO SPRINGS, CO 80910
Internal Medicine
175 S UNION BLVD, STE 350
COLORADO SPRINGS, CO 80910
Internal Medicine
175 S UNION BLVD, STE 350
COLORADO SPRINGS, CO 80910
Internal Medicine
175 S UNION BLVD, STE 350
COLORADO SPRINGS, CO 80910
Nurse Practitioner (Adult Health)
175 S UNION BLVD, STE 350
COLORADO SPRINGS, CO 80910
Surgery (Vascular Surgery)
175 S UNION BLVD, SUITE 320
COLORADO SPRINGS, CO 80910
Surgery (Vascular Surgery)
175 S UNION BLVD, SUITE 320
COLORADO SPRINGS, CO 80910
Orthopaedic Surgery
175 S UNION BLVD, STE 200
COLORADO SPRINGS, CO 80910
Physical Therapist
175 S UNION BLVD, SUITE 200
COLORADO SPRINGS, CO 80910
Specialist
175 S UNION BLVD, SUITE 305
COLORADO SPRINGS, CO 80910
Obstetrics & Gynecology
175 S UNION BLVD, SUITE 220
COLORADO SPRINGS, CO 80910
Thoracic Surgery (Cardiothoracic Vascular Surgery)
175 S UNION BLVD, #115
COLORADO SPRINGS, CO 80910
Internal Medicine
175 S UNION BLVD, SUITE 350
COLORADO SPRINGS, CO 80910
Specialist/Technologist (Athletic Trainer)
175 S UNION BLVD, SUITE 200
COLORADO SPRINGS, CO 80910
Physician Assistant (Surgical)
175 S UNION BLVD, STE 345
COLORADO SPRINGS, CO 80910

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730181645, enumerated as an "individual" on August 10, 2005.

The provider is located at 175 S UNION BLVD SUITE 310 COLORADO SPRINGS, CO 80910 and the phone number is (719) 473-3272.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.