DR. JUAN GILBERTO HERRERA MD
NPI 1841282118
Internal Medicine - Gastroenterology in Raleigh, NC

Q: What is Juan Herrera's NPI number?

The NPI number for Juan Herrera is 1841282118. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Q: What is Juan Herrera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Juan Herrera was last updated on October 16, 2023. 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.

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment

95.39/100

CMS Quality Rating

3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-5318 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 16, 2023, Apr 23, 2021, May 27, 2020 and 5 more (8 updates tracked since 2017).

On this page

About Dr. Juan Gilberto Herrera Md NPPES

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

DR. JUAN GILBERTO HERRERA MD (NPI 1841282118) is an individual gastroenterology provider in Raleigh, North Carolina, licensed in North Carolina (2021-00026) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Un Of California, Irvine, College Of Medicine (1992).

NPPES Registry Identity

NPI1841282118

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. JUAN GILBERTO HERRERACredential: MD

Location Address3024 NEW BERN AVERaleigh, NC 27610-1247

Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0351 · Fax (919) 350-7687

Phone(919) 350-5318

Sole ProprietorNo

Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1992

Enumeration DateAugust 22, 2005

Last NPPES UpdateOctober 16, 20238 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1841282118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in NC · 2021-00026✔ Licensed in FL · ME74020

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3024 NEW BERN AVE, Raleigh, NC 27610

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Other Identifiers 1

Medicaid1841282118NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Juan Gilberto Herrera 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 ID8729024534

PECOS Enrollment IDI20210421002420

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 11

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

80 services77 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

36 services36 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

28 services28 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

22 services22 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

20 services20 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

15 services15 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

15 services15 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.

13 services13 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

95.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.76

Promoting Interoperability

100

Improvement Activities

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.

VALERIE J RINEHAMMER PNP

Nurse Practitioner (Pediatrics)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7846

WAKEMED FACULTY PRACTICE PLAN

Pediatrics (Pediatric Critical Care Medicine)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-8000

DR. KAREN NEFF CHILTON M.D.

Pediatrics (Pediatric Critical Care Medicine)

3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610

Wake County (919) 350-8493

DR. SAMER TAJ-ELDIN M.D.

Internal Medicine (Critical Care Medicine)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7270

VIRGINIA GRACE CATES PA-C

Physician Assistant

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-5318

MS. KAYLA ANNE CADDEN PA-C

Physician Assistant (Surgical)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7331

DON M. ARMSTRONG MD

Obstetrics & Gynecology

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7084

KATHLEEN A ROWE NP

Nurse Practitioner

3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610

Wake County (919) 350-8729

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 Juan Herrera's NPI number?

The NPI number for Juan Herrera is 1841282118. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Juan Herrera located?

Juan Herrera practices at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-5318.

What is Juan Herrera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Juan Herrera enrolled in Medicare?

Yes. Juan Herrera 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 Juan Herrera accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Juan Herrera 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 Juan Herrera affiliated with any hospitals?

According to CMS data, Juan Herrera is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Juan Herrera was last updated on October 16, 2023. 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.