DR. ROBERT DAVID HERSCOWITZ M.D.
NPI 1801838776
Internal Medicine - Pulmonary Disease in Alexandria, VA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
91.54/100
CMS Quality Rating
5216 DAWES AVE, ALEXANDRIA, VA 22311(703) 931-4746(703) 931-1794 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert David Herscowitz M.d. NPPES

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

DR. ROBERT DAVID HERSCOWITZ M.D. (NPI 1801838776) is an individual pulmonary disease provider in Alexandria, Virginia, licensed in Virginia (0101055633) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Georgetown University School Of Medicine (1990).

NPPES Registry Identity

NPI1801838776
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ROBERT DAVID HERSCOWITZCredential: M.D.
Location Address5216 DAWES AVEAlexandria, VA 22311-1404
Mailing Address5216 Dawes AveAlexandria, VA 22311-1404 · (703) 931-4746 · Fax (703) 931-1794
Fax(703) 931-1794
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1990
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 31, 2012
NPI 1801838776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in VA · 0101055633
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
5216 DAWES AVE, Alexandria, VA 22311

Other Identifiers 5

Other0006VA · Carefirst Bcbs
Medicare UPING49245VA
Other222412VA · Anthem Bcbs
Medicare ID-Type Unspecified906427P46VA
Medicaid005801389VA

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

Dr. Robert David Herscowitz 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 ID1850572215
PECOS Enrollment IDI20110218000397
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 10

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.
1,053 services596 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
486 services442 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
475 services438 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
474 services437 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.
138 services115 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
133 services133 patients

Hospital Affiliations CMS Care Compare 4

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22311 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

91.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.81
Promoting Interoperability100
Improvement Activities40
Cost75.01

Reported Quality Measures

Advance Care Plan
100%883 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,860 patients5/55-star benchmark: 100%
e-Prescribing
97%503 patients4/55-star benchmark: 100%
Optimal Asthma Control
Patients adultCtrlNoExacRisk: 98% · 108 patients
Patients adultsNoRiskExac: 0% · 108 patients
Patients adultsWellCtrl: 0% · 108 patients
98%108 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,376 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 853 patients
Patients screened: 81% · 853 patients
97%64 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 82% · 833 patients
Patients screened: 83% · 833 patients
96%135 patients
Provide Patients Electronic Access to Their Health Information
97%622 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 933 patients
Patients totalRate: 0% · 933 patients
0%933 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.

Referred Medical Equipment & Supplies CMS DME claims 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers43 claims43 services$30.01 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers15 claims33 services$1.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers42 claims42 services$72.77 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers44 claims116 services$27.78 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers39 claims227 services$14.28 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers23 claims138 services$10.30 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.

Internal Medicine (Pulmonary Disease)
5216 DAWES AVE
ALEXANDRIA, VA 22311
Internal Medicine (Pulmonary Disease)
5216 DAWES AVE
ALEXANDRIA, VA 22311
Internal Medicine (Pulmonary Disease)
5216 DAWES AVE
ALEXANDRIA, VA 22311

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 Robert Herscowitz's NPI number?

The NPI number for Robert Herscowitz is 1801838776. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Robert Herscowitz located?

Robert Herscowitz practices at 5216 Dawes Ave, Alexandria, VA 22311. The listed phone number is (703) 931-4746.

What is Robert Herscowitz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Robert Herscowitz enrolled in Medicare?

Yes. Robert Herscowitz 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.

Is Robert Herscowitz affiliated with any hospitals?

According to CMS data, Robert Herscowitz is affiliated with Inova Alexandria Hospital, Virginia Hospital Center, Inova Fairfax Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Robert Herscowitz was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.