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ADRIANA MARIE HERRON PA
NPI 1861026551
Physician Assistant in Ruskin, FL

Active since March 03, 2020PECOS EnrolledAccepts Medicare Assignment
76.41/100
CMS Quality Rating
924 CYPRESS VILLAGE BLVD STE A, RUSKIN, FL 33573(813) 633-6121(866) 264-8519 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2023, Feb 11, 2021, Nov 23, 2020 and 1 more (4 updates tracked since 2020).

About Adriana Marie Herron Pa NPPES

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

ADRIANA MARIE HERRON PA (NPI 1861026551) is an individual physician assistant in Ruskin, Florida, licensed in Florida (PA9113082) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861026551
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameADRIANA MARIE HERRONCredential: PA
Location Address924 CYPRESS VILLAGE BLVD STE ARuskin, FL 33573-6829
Mailing Address1600 Lakeland Hills BlvdLakeland, FL 33805-3019 · (863) 680-7000 · Fax (866) 264-8519
Phone(813) 633-6121
Fax(866) 264-8519
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 3, 2020
Last NPPES UpdateApril 10, 20234 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1861026551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9113082
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
924 CYPRESS VILLAGE BLVD STE A, Ruskin, FL 33573
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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

Adriana Marie Herron Pa 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 ID3971932823
PECOS Enrollment IDI20200330000250
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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
613 services137 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.
420 services333 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
312 services282 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
230 services195 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
181 services116 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.
155 services155 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33573 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

76.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.87
Promoting Interoperability100
Improvement Activities40
Cost59.5

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.

RONALD JOSEPH PATRICK MD
Dermatology
924 CYPRESS VILLAGE BLVD STE A
RUSKIN, FL 33573
Hillsborough County (813) 633-6121
MS. HOLLY KATHLEEN BARTLEY APRN
Nurse Practitioner (Family)
924 CYPRESS VILLAGE BLVD STE A
RUSKIN, FL 33573
Hillsborough County (813) 633-6121
HANNA PATEL-MILLS PA-C
Physician Assistant
924 CYPRESS VILLAGE BLVD STE A
RUSKIN, FL 33573
Hillsborough County (813) 633-6121

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 Adriana Herron's NPI number?

The NPI number for Adriana Herron is 1861026551. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Adriana Herron located?

Adriana Herron practices at 924 Cypress Village Blvd Ste A, Ruskin, FL 33573. The listed phone number is (813) 633-6121.

What is Adriana Herron's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adriana Herron enrolled in Medicare?

Yes. Adriana Herron 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.

When was this NPI record last updated?

The NPPES record for Adriana Herron was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.