DR. RICHARD SCOTT HERMAN M.D.
NPI 1972750289
Surgery - Pediatric Surgery in Philadelphia, PA
About Dr. Richard Scott Herman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD SCOTT HERMAN M.D. (NPI 1972750289) is an individual pediatric surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD045047L) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 4
Accepted 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. Richard Scott Herman 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.
Medicare Billing Reassignments
5Medicare enrollment records show Richard Herman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania enrollment
- 479 clinicians in this Medicare group
Springfield, IL 62702
- Reassigned Medicare billing, Illinois enrollment
- 645 clinicians in this Medicare group
O Fallon, IL 62269
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 414 clinicians in this Medicare group
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Steelville, MO 65565
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1245277631 (Missouri)
- 1,487 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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 Richard Herman's NPI number?
The NPI number for Richard Herman is 1972750289. It was assigned to this individual provider in the NPPES registry on August 19, 2008.
Where is Richard Herman located?
Richard Herman practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.
What is Richard Herman's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Richard Herman enrolled in Medicare?
Yes. Richard Herman 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.
Which organizations bill Medicare for Richard Herman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Herman reassigns Medicare benefits to 5 organizations: Stc Pediatrics LLC (Philadelphia, PA), Siu Physicians & Surgeons, Inc (Springfield, IL), Ssm Cardinal Glennon Childrens Hospital (O Fallon, IL), Ssm Health Care Group (Saint Louis, MO) and Mercy Clinic Springfield Communities (Steelville, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Herman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Herman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Richard Herman 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 Richard Herman was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dr. Richard Scott Herman, M.D. · NPI 1972750289
Pediatric Surgery physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 19, 2008.
## Identity
- **NPI:** 1972750289 (Entity type: Individual)
- **Enumerated:** August 19, 2008
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** MD045047L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E ERIE AVE, Philadelphia, PA 19134-1011
- **Phone:** (215) 427-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Stc Pediatrics LLC (NPI 1003450420, Philadelphia, PA); Siu Physicians & Surgeons, Inc (NPI 1558385989, Springfield, IL); Ssm Cardinal Glennon Childrens Hospital (NPI 1174577670, O Fallon, IL); Ssm Health Care Group (NPI 1306589544, Saint Louis, MO); Mercy Clinic Springfield Communities (NPI 1669504411, Steelville, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** January 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972750289) · Data from the CMS NPPES public registry.