JAMES EDWARD HERMANN M.D.
NPI 1861442899
Family Medicine in Ventura, CA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
5850 THILLE ST, SUITE 101, VENTURA, CA 93003(805) 639-9332(805) 639-9367 Get Directions Write a Review

NPPES record last updated: March 19, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Edward Hermann M.d. NPPES

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

JAMES EDWARD HERMANN M.D. (NPI 1861442899) is an individual family medicine provider in Ventura, California, licensed in California (G080153) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1993).

NPPES Registry Identity

NPI1861442899
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES EDWARD HERMANNCredential: M.D.
Location Address5850 THILLE ST, SUITE 101Ventura, CA 93003-5413
Mailing Address5850 Thille St, Suite 101Ventura, CA 93003-5413 · (805) 639-9332 · Fax (805) 639-9367
Fax(805) 639-9367
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1993
Enumeration DateMay 11, 2006
Last NPPES UpdateMarch 19, 2009
NPI 1861442899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G080153
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5850 THILLE ST, Ventura, CA 93003

Other Identifiers 1

Medicare UPING40195CA

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

James Edward Hermann 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 ID7113936329
PECOS Enrollment IDI20060417000773
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 16

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.
755 services266 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
218 services218 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
214 services214 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
194 services194 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
185 services168 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
185 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.44
Improvement Activities40
Cost61.03

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims40 services$5.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims11 services$0.96 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 4

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

Rehabilitation Practitioner
5850 THILLE ST
VENTURA, CA 93003
Family Medicine
5850 THILLE ST, SUITE 101
VENTURA, CA 93003
Family Medicine
5850 THILLE ST, SUITE 101
VENTURA, CA 93003
Chiropractor
5850 THILLE ST, 204
VENTURA, CA 93003

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 James Hermann's NPI number?

The NPI number for James Hermann is 1861442899. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is James Hermann located?

James Hermann practices at 5850 Thille St Suite 101, Ventura, CA 93003. The listed phone number is (805) 639-9332.

What is James Hermann's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Hermann enrolled in Medicare?

Yes. James Hermann 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 James Hermann was last updated on March 19, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.