Active NPI 1346238151 Individual Practitioner Male Practitioner

Dr. J Manuel Herrera , MD

Specialist • Tucson, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. J Herrera, MD is a certified Specialist practicing in Tucson, AZ. With approximately 43 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1983, Dr. Herrera delivers high-quality medical care to the local community at 1261 N WILMOT RD.

Dr. Herrera is affiliated with Arizona Community Physicians Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory, colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1261 N Wilmot Rd

Tucson, AZ 857125154

Telephone 5207226858

Fax 5207228781

Associated Practice Facility / Clinic

🏢 J Manuel Herrera Md Pc Facility NPI 1780869859

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tucson, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +13.3 yrs vs City Avg

City Avg: 29.7 Yrs

State Avg: 35.9 Yrs

Regional Practice Density

89 Specialists

Practicing in Tucson, AZ (826 Statewide)

Telehealth Adoption Rate

2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herrera (43 Years) 43 Yrs

Tucson Specialty Average (29.7 Years) 29.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	168	$213.00	$125.22
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	70	70	$88.00	$44.67
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	52	52	$44.59	$17.69
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	11	11	$76.00	$39.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	118	$213.00	$124.49
82270 Stool analysis for blood to screen for colon tumors	62	62	$9.00	$4.22
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	57	57	$88.00	$41.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	33	$287.00	$172.60
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	22	22	$76.00	$38.60
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$144.00	$88.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	135	$213.00	$122.84
82270 Stool analysis for blood to screen for colon tumors	78	78	$9.00	$4.25
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	57	57	$88.00	$40.47
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	51	51	$76.00	$38.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$325.00	$164.29
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$144.00	$88.88
77067 Screening mammography	21	21	$340.00	$126.54
77063 Screening digital tomography of both breasts	21	21	$70.00	$51.97
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	13	13	$45.00	$17.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	114	113	$287.00	$179.74
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	86	86	$45.00	$18.05
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	43	43	$76.00	$37.91
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	42	42	$88.00	$42.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	32	$213.00	$126.28
82270 Stool analysis for blood to screen for colon tumors	29	29	$9.00	$4.38
77067 Screening mammography	24	24	$340.00	$130.28
77063 Screening digital tomography of both breasts	23	23	$70.00	$54.24
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$144.00	$90.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	158	$213.00	$106.95
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	83	83	$45.00	$17.87
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	69	69	$76.00	$39.69
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	62	62	$88.00	$42.61
77063 Screening digital tomography of both breasts	39	39	$70.00	$54.00
77067 Screening mammography	39	39	$340.00	$132.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$325.00	$154.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	176	$213.00	$106.71
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	94	94	$76.00	$38.66
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	88	88	$88.00	$43.16
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	74	74	$45.00	$17.69
77063 Screening digital tomography of both breasts	44	44	$70.00	$54.63
77067 Screening mammography	43	43	$340.00	$134.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$325.00	$163.31
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$144.00	$71.65
76830 Ultrasound pelvis through vagina	14	14	$244.00	$120.72
76856 Complete ultrasound scan of pelvis	12	12	$220.00	$108.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	166	$213.00	$105.88
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	75	75	$88.00	$43.32
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	69	69	$45.00	$19.25
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	68	68	$76.00	$37.19
99213 Established patient office or other outpatient visit, typically 15 minutes	43	35	$144.00	$71.64
77067 Screening mammography	28	28	$340.00	$134.13
77063 Screening digital tomography of both breasts	28	28	$70.00	$53.91
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	27	27	$45.00	$19.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$325.00	$161.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	163	$164.63	$104.81
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	100	100	$68.00	$44.04
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	91	91	$63.00	$37.79
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	53	53	$45.00	$17.76
77063 Screening digital tomography of both breasts	44	44	$69.05	$54.61
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	43	43	$340.00	$133.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	41	$218.67	$142.97
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$109.85	$72.03
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	38	38	$45.00	$17.76
76830 Ultrasound pelvis through vagina	13	12	$190.00	$121.38
76856 Complete ultrasound scan of pelvis	13	12	$188.00	$106.81

Medical Specialties & State Licenses

CMS Verified: 2026-06-25

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 14965

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

276685 (AZ)

Hospital & Practice Group Affiliations

Arizona Community Physicians Pc

2055 W Hospital Dr, Tucson, AZ 857047892

Phone: 5205475725

Arizona Community Physicians Pc

1261 N Wilmot Rd, Tucson, AZ 857125154

Phone: 5207226858

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Jaime Ledesma , MD

Obstetrics & Gynecology - Gynecology

NPI 1073618161

Doctor of Medicine (M.D.)

Dr. Jennifer Hutchison , MD

Obstetrics & Gynecology - Gynecology

NPI 1285609099

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2012

Registered at 1261 N WILMOT RD, TUCSON, AZ 857125154 (Tel: 5207226858)

📍

Updated Business Mailing Address April 12, 2012

Registered at 1261 N WILMOT RD, TUCSON, AZ 857125154 (Tel: 5207226858)

👤

Provider Name / Credentials Updated April 12, 2012

Recorded as J HERRERA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2012

Specialist (License #14965 in AZ)

🟢

Initial NPI Registration & Enumeration October 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346238151

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 06, 2005

Last Update: June 25, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1261 N Wilmot Rd

Tucson, AZ 857125154

Phone: 5207226858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.