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DR. HERBY AMBROISE MD
NPI 1811181043
Hospitalist in Gilbert, AZ

Active since August 30, 2007PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
1900 N HIGLEY ROAD, ATTN: HOSPITALISTS, GILBERT, AZ 85234(480) 543-2034(480) 543-2647 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Herby Ambroise Md NPPES

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

DR. HERBY AMBROISE MD (NPI 1811181043) is an individual hospitalist provider in Gilbert, Arizona, licensed in Arizona (45089) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1811181043
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. HERBY AMBROISECredential: MD
Location Address1900 N HIGLEY ROAD, ATTN: HOSPITALISTSGilbert, AZ 85234
Mailing Address1900 N Highway Road, Attn: HospitalistsGilbert, AZ 85234 · (480) 543-2034 · Fax (480) 543-2647
Phone(480) 543-2034
Fax(480) 543-2647
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 30, 2007
Last NPPES UpdateMay 10, 2018
✔ NPI 1811181043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 45089
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 26401I (PR), 45089 (AZ)
1900 N HIGLEY ROAD, Gilbert, AZ 85234
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Dr. Herby Ambroise Md 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 ID8325233786
PECOS Enrollment IDI20120412000208
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
381 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
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.
194 services76 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
64 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services47 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$14.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$66.38 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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA FITZPATRICK ARNIERI PA-C
Family Medicine
1900 N HIGLEY ROAD
GILBERT, AZ 85234
Maricopa County (480) 543-2000
JONATHAN GOIT DO
Hospitalist
1900 N HIGLEY ROAD, ATTN: HOSPITALISTS
GILBERT, AZ 85234
Maricopa County (480) 543-2034
DR. DEREK YEE MD
Hospitalist
1900 N HIGLEY ROAD, ATTN BMG HOSPITALIST TEAM/AMANDA GUMP
GILBERT, AZ 85234
Maricopa County (480) 543-2034
STEVEN ISAMU COLLINS DO
Hospitalist
1900 N HIGLEY ROAD, ATTN BMG HOSPITALIST TEAM/AMANDA GUMP
GILBERT, AZ 85234
Maricopa County (480) 543-2034
DR. RYAN PERKINSON KNIGHT DO
Hospitalist
1900 N HIGLEY ROAD
GILBERT, AZ 85234
Maricopa County (480) 543-2034
JESSI RAE MCMINN MD
Hospitalist
1900 N HIGLEY ROAD
GILBERT, AZ 85234
Maricopa County (480) 543-2034
TOMMY CHRIS PRICE M.D.
Emergency Medicine
1900 N HIGLEY ROAD, BANNER GATEWAY MEDICAL CENTER
GILBERT, AZ 85234
Maricopa County (480) 543-2200
JULIAN CHRISTOPHER DUNKLEY MD
Hospitalist
1900 N HIGLEY ROAD
GILBERT, AZ 85234
Maricopa County (480) 543-2034

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 Herby Ambroise's NPI number?

The NPI number for Herby Ambroise is 1811181043. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Herby Ambroise located?

Herby Ambroise practices at 1900 N Higley Road Attn: Hospitalists, Gilbert, AZ 85234. The listed phone number is (480) 543-2034.

What is Herby Ambroise's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Herby Ambroise enrolled in Medicare?

Yes. Herby Ambroise 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 Herby Ambroise accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Herby Ambroise 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 Herby Ambroise was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.