PAUL M HERRING MD
NPI 1902829625
Ophthalmology in N Charleston, SC

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
95.9/100
CMS Quality Rating
2861 TRICOM STREET, N CHARLESTON, SC 29406(843) 797-5511(843) 797-0638 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2022, Feb 27, 2020, Jun 30, 2016 (3 updates tracked since 2016).

About Paul M Herring Md NPPES

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

PAUL M HERRING MD (NPI 1902829625) is an individual ophthalmology provider in N Charleston, South Carolina, licensed in South Carolina (18481) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (1990).

NPPES Registry Identity

NPI1902829625
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePAUL M HERRINGCredential: MD
Location Address2861 TRICOM STREETN Charleston, SC 29406-9172
Mailing Address2861 Tricom StreetN Charleston, SC 29406-9172 · (843) 797-5511 · Fax (843) 797-0638
Fax(843) 797-0638
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1990
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 10, 20223 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
NPI 1902829625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in SC · 18481
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2861 TRICOM STREET, N Charleston, SC 29406

Other Identifiers 2

Other180031718SC · Railroad Medicare
MedicaidT23999SC

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

Paul M Herring 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 ID2567363377
PECOS Enrollment IDI20111110000241
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.

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.
1,651 services1,627 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.
520 services514 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
428 services420 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
303 services173 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
300 services290 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
299 services186 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

95.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.41
Promoting Interoperability96
Improvement Activities40
Cost91.26

Reported Quality Measures

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 657 patients
Patients screened: 100% · 657 patients
98%53 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%1,284 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers12 claims12 services$64.64 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 2

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

Ophthalmology
2861 TRICOM STREET
N CHARLESTON, SC 29406
Ophthalmology
2861 TRICOM STREET
N CHARLESTON, SC 29406

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 Paul Herring's NPI number?

The NPI number for Paul Herring is 1902829625. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Paul Herring located?

Paul Herring practices at 2861 Tricom Street, N Charleston, SC 29406. The listed phone number is (843) 797-5511.

What is Paul Herring's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Paul Herring enrolled in Medicare?

Yes. Paul 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 Paul Herring accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Paul 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 Paul Herring was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.