CARLA HERMAN
NPI 1811904865
Family Medicine - Geriatric Medicine in Albuquerque, NM

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
1101 MEDICAL ARTS AVE NE, BLDG 4, SUITE A, ALBUQUERQUE, NM 87102(505) 272-1754(505) 925-4594 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2025, Oct 19, 2023, Mar 22, 2017 (3 updates tracked since 2017).

About Carla Herman NPPES

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

CARLA HERMAN (NPI 1811904865) is an individual geriatric medicine provider in Albuquerque, New Mexico, licensed in New Mexico (95-75) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of University Of Minnesota Medical School (1985).

NPPES Registry Identity

NPI1811904865
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameCARLA HERMAN
Location Address1101 MEDICAL ARTS AVE NE, BLDG 4, SUITE AAlbuquerque, NM 87102-2706
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Fax(505) 925-4594
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1985
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 18, 20253 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1811904865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in NM · 95-75
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1101 MEDICAL ARTS AVE NE, Albuquerque, NM 87102

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

Carla Herman 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 ID8729172838
PECOS Enrollment IDI20070920000345
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 2

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.
129 services67 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.
53 services41 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims

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

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 suppliers20 claims23 services$83.29 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 20

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

Community Health Worker
1101 MEDICAL ARTS AVE NE, BLDG. 3-100
ALBUQUERQUE, NM 87102
Social Worker (Clinical)
1101 MEDICAL ARTS AVE NE, BUILDING 3
ALBUQUERQUE, NM 87102
Social Worker
1101 MEDICAL ARTS AVE NE
ALBUQUERQUE, NM 87102
Counselor (Mental Health)
1101 MEDICAL ARTS AVE NE, BLDGE 3-100
ALBUQUERQUE, NM 87102
Counselor (Mental Health)
1101 MEDICAL ARTS AVE NE, BLDG 3-100
ALBUQUERQUE, NM 87102
Social Worker
1101 MEDICAL ARTS AVE NE, BLDG 3
ALBUQUERQUE, NM 87102
Counselor (Mental Health)
1101 MEDICAL ARTS AVE NE
ALBUQUERQUE, NM 87102
Internal Medicine
1101 MEDICAL ARTS AVE NE, BUILDING 4, STE A
ALBUQUERQUE, NM 87102

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 Carla Herman's NPI number?

The NPI number for Carla Herman is 1811904865. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Carla Herman located?

Carla Herman practices at 1101 Medical Arts Ave NE Bldg 4, Suite A, Albuquerque, NM 87102. The listed phone number is (505) 272-1754.

What is Carla Herman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Carla Herman enrolled in Medicare?

Yes. Carla Herman 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 Carla Herman affiliated with any hospitals?

According to CMS data, Carla Herman is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Carla Herman was last updated on March 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.