IVONNE HERRERA MD
NPI 1992856785
Internal Medicine - Rheumatology in Seaford, DE

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
95.23/100
CMS Quality Rating
1350 MIDDLEFORD RD, SUITE 502, SEAFORD, DE 19973(302) 628-8300(302) 628-8400 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivonne Herrera Md NPPES

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

IVONNE HERRERA MD (NPI 1992856785) is an individual rheumatology provider in Seaford, Delaware, licensed in Delaware (CI0006778) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1992856785
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameIVONNE HERRERACredential: MD
Location Address1350 MIDDLEFORD RD, SUITE 502Seaford, DE 19973-3664
Mailing Address1350 Middleford Rd, Suite 502Seaford, DE 19973-3664 · (302) 628-8300 · Fax (302) 628-8400
Fax(302) 628-8400
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 16, 2007
Last NPPES UpdateApril 12, 2017
NPI 1992856785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in DE · CI0006778 Licensed in MD · D0078900
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1350 MIDDLEFORD RD, Seaford, DE 19973

Other Identifiers 3

Other196158YC36Ptan
Medicaid1000021656DE
Medicare UPINH81553

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

Ivonne Herrera 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 ID1254473820
PECOS Enrollment IDI20150414000945
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 25

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
61,060 services18 patients
Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
53,200 services17 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
42,180 services449 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
20,580 services21 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
14,750 services20 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
8,825 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Riverside Shore Memorial Hospital

Acute Care Hospitals · Onancock, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490037
Location20480 Market StreetOnancock, VA 23417 · Accomack County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19973 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

95.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost84.11

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.

Internal Medicine (Rheumatology)
1350 MIDDLEFORD RD, SUITE 502
SEAFORD, DE 19973
Internal Medicine
1350 MIDDLEFORD RD, SUITE 501
SEAFORD, DE 19973
Radiology (Diagnostic Radiology)
1350 MIDDLEFORD RD
SEAFORD, DE 19973
Internal Medicine
1350 MIDDLEFORD RD, STE 501
SEAFORD, DE 19973

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 Ivonne Herrera's NPI number?

The NPI number for Ivonne Herrera is 1992856785. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Ivonne Herrera located?

Ivonne Herrera practices at 1350 Middleford Rd Suite 502, Seaford, DE 19973. The listed phone number is (302) 628-8300.

What is Ivonne Herrera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ivonne Herrera enrolled in Medicare?

Yes. Ivonne Herrera 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 Ivonne Herrera accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Ivonne Herrera 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.

Is Ivonne Herrera affiliated with any hospitals?

According to CMS data, Ivonne Herrera is affiliated with Tidalhealth Peninsula Regional, Inc, Atlantic General Hospital and Riverside Shore Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ivonne Herrera was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.