Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOEL H HERRING M.D.
NPI 1831286699
Ophthalmology - Retina Specialist in Salt Lake City, UT

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5169 S COTTONWOOD ST STE 630, SALT LAKE CITY, UT 84107(801) 312-2020(801) 312-2022 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 2, 2026, Apr 14, 2017 (2 updates tracked since 2017).

About Joel H Herring M.d. NPPES

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

JOEL H HERRING M.D. (NPI 1831286699) is an individual retina specialist in Salt Lake City, Utah, licensed in Utah (14255370-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1999).

NPPES Registry Identity

NPI1831286699
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameJOEL H HERRINGCredential: M.D.
Location Address5169 S COTTONWOOD ST STE 630Salt Lake City, UT 84107-6771
Mailing Address5169 S Cottonwood St Ste 630Salt Lake City, UT 84107-6771 · (801) 312-2020 · Fax (801) 312-2022
Fax(801) 312-2022
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1999
Enumeration DateOctober 5, 2006
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1831286699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses✔ Licensed in UT · 14255370-1205✔ Licensed in MS · 14956
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 14956 (MS)
5169 S COTTONWOOD ST STE 630, Salt Lake City, UT 84107

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

Joel H Herring 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 ID2365631462
PECOS Enrollment IDI20110105000318, I20260623003734
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 21

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.

Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
6,252 services592 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
3,885 services1,325 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
2,932 services712 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.
955 services679 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.
250 services250 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
243 services225 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Ophthalmology (Retina Specialist)
5169 S COTTONWOOD ST STE 630
SALT LAKE CITY, UT 84107
Ophthalmology
5169 S COTTONWOOD ST STE 630
MURRAY, UT 84107

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 Joel Herring's NPI number?

The NPI number for Joel Herring is 1831286699. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Joel Herring located?

Joel Herring practices at 5169 S Cottonwood St Ste 630, Salt Lake City, UT 84107. The listed phone number is (801) 312-2020.

What is Joel Herring's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Joel Herring enrolled in Medicare?

Yes. Joel Herring 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 Joel Herring accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Joel Herring 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 Joel Herring was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.