DR. ROBERT GEORGE HERMAN MD
NPI 1902867351
Family Medicine - Adult Medicine in Groton, CT

Q: What is Robert Herman's NPI number?

The NPI number for Robert Herman is 1902867351. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Robert Herman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Robert Herman was last updated on August 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 March 28, 2006PECOS EnrolledAccepts Medicare Assignment

83.63/100

CMS Quality Rating

85 POHEGANUT DR, GROTON, CT 06340(440) 255-4455(440) 255-4487 Get Directions Write a Review

NPPES record last updated: August 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Robert George Herman Md NPPES

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

DR. ROBERT GEORGE HERMAN MD (NPI 1902867351) is an individual adult medicine provider in Groton, Connecticut, licensed in Connecticut (82823) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1902867351

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameDR. ROBERT GEORGE HERMANCredential: MD

Location Address85 POHEGANUT DRGroton, CT 06340-3252

Mailing Address7670 Maple GrvChesterland, OH 44026-3449 · (440) 376-6089

Phone(440) 255-4455

Fax(440) 255-4487

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateMarch 28, 2006

Last NPPES UpdateAugust 31, 2025

NPPES CertifiedAugust 31, 2025

✔ NPI 1902867351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in CT · 82823

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 35-050840 (OH)

85 POHEGANUT DR, Groton, CT 06340

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Other Identifiers 7

Other80507OH · Qualchoice

Medicaid0660780OH

Other341425870042OH · Medical Mutual Of Ohio

Other264200000OH · Dept Of Labor

Other264200000OH · Federal Black Lung

Other000000339406OH · Anthem

Other6600162OH · United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert George Herman 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 ID749189074

PECOS Enrollment IDI20250930001019

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.

Medicare Billing Reassignments

Medicare enrollment records show Robert Herman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prohealth Physicians PC

47 mi

Family Medicine

3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032

Reassigned Medicare billing, Connecticut enrollment
496 clinicians in this Medicare group

NPI 1720194053 (860) 284-5200

Lake Hospital System, Inc

469 mi

Urgent Care

6270 N RIDGE RD
Madison, OH 44057

Reassigned Medicare billing, Ohio enrollment
285 clinicians in this Medicare group

NPI 1134189376 (440) 428-8256

Kauai Medical Clinic

5,105 mi

Multi-Specialty

3-3420 KUHIO HWY, SUITE B
Lihue, HI 96766

Reassigned Medicare billing, Hawaii enrollment
298 clinicians in this Medicare group

NPI 1376596643 (808) 245-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

31 services26 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.

19 services19 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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06340 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

83.63/100

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

Scored through an Alternative Payment Model

Quality

78.06

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 11

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

MRS. CYNTHIA D L'HEUREUX APRN

Nurse Practitioner (Family)