BRADLEY A HERBST DPM
NPI 1750356127
Podiatrist - Foot Surgery in Jacksonville, FL

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
12276 SAN JOSE BLVD STE 606, JACKSONVILLE, FL 32223(904) 268-6993(904) 260-1523 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2024, Jul 1, 2020, May 10, 2019 and 2 more (5 updates tracked since 2016).

About Bradley A Herbst Dpm NPPES

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

BRADLEY A HERBST DPM (NPI 1750356127) is an individual foot surgery provider in Jacksonville, Florida, licensed in Florida (PO2789) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Kent State University College Of Podiatric Medicine (1997).

NPPES Registry Identity

NPI1750356127
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameBRADLEY A HERBSTCredential: DPM
Location Address12276 SAN JOSE BLVD STE 606Jacksonville, FL 32223-8672
Mailing Address12276 San Jose Blvd Ste 606Jacksonville, FL 32223-8672 · (904) 268-6993 · Fax (904) 260-1523
Fax(904) 260-1523
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1997
Enumeration DateFebruary 21, 2006
Last NPPES UpdateApril 17, 20245 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
NPI 1750356127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in FL · PO2789
12276 SAN JOSE BLVD STE 606, Jacksonville, FL 32223

Other Identifiers 1

Medicaid390492000FL

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

Bradley A Herbst Dpm 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 ID7113074956
PECOS Enrollment IDI20100506000917
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 17

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.
807 services480 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
497 services315 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
487 services220 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
332 services332 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
82 services28 patients
Simple separation of fingernail or toenail from nail bed, first nail 11730
This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
74 services71 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 4

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier46 claims92 services$60.33 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
1 supplier46 claims276 services$37.31 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier23 claims23 services$74.71 avg. paid by Medicare
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4387
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$120.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Bradley Herbst's NPI number?

The NPI number for Bradley Herbst is 1750356127. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Bradley Herbst located?

Bradley Herbst practices at 12276 San Jose Blvd Ste 606, Jacksonville, FL 32223. The listed phone number is (904) 268-6993.

What is Bradley Herbst's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Bradley Herbst enrolled in Medicare?

Yes. Bradley 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 Bradley Herbst accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and UnitedHealthcare list Bradley 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.

Is Bradley Herbst affiliated with any hospitals?

According to CMS data, Bradley Herbst is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Bradley Herbst was last updated on April 17, 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.