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HILLARY HERMAN M.D.
NPI 1972951127
Pediatrics in Appleton, WI

Active since May 27, 2016PECOS Enrolled
1506 S ONEIDA ST FL 5, APPLETON, WI 54915(920) 730-4950 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hillary Herman M.d. NPPES

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

HILLARY HERMAN M.D. (NPI 1972951127) is an individual pediatrics provider in Appleton, Wisconsin, licensed in Wisconsin (70604-20) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1972951127
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameHILLARY HERMANCredential: M.D.
Location Address1506 S ONEIDA ST FL 5Appleton, WI 54915-1305
Mailing Address200 Hawkins Dr, Dept Of PediatricsIowa City, IA 52242-1009
Phone(920) 730-4950
Sole ProprietorNo
Enumeration DateMay 27, 2016
Last NPPES UpdateSeptember 10, 2019
✔ NPI 1972951127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 70604-20✔ Licensed in IA · R-10546
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1506 S ONEIDA ST FL 5, Appleton, WI 54915
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Secondary Practice Location 1

Location 1200 Hawkins Dr, Dept of PediatricsIowa City, IA 52242-1009 · Phone (815) 520-8641

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hillary Herman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES

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

TODD MCKENZIE MD
Pediatrics
1506 S ONEIDA ST FL 5
APPLETON, WI 54915
Calumet County (920) 730-4950

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 Hillary Herman's NPI number?

The NPI number for Hillary Herman is 1972951127. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Hillary Herman located?

Hillary Herman practices at 1506 S Oneida St Fl 5, Appleton, WI 54915. The listed phone number is (920) 730-4950.

What is Hillary Herman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Hillary Herman enrolled in Medicare?

Yes. Hillary Herman is registered in the Medicare PECOS enrollment system.

What insurance does Hillary Herman accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Hillary 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 Hillary Herman was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.