Active NPI 1528173127 Individual Practitioner Male Practitioner

Dr. William J Heringer , MD

Internal Medicine • Solvang, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. William Heringer, MD is a certified Internal Medicine practicing in Solvang, CA. With approximately 49 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1977, Dr. Heringer delivers high-quality medical care to the local community at 2030 VIBORG RD STE 201.

Dr. Heringer accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2030 Viborg Rd Ste 201

Solvang, CA 934633226

Telephone 8056887200

Fax 8056882894

Associated Practice Facility / Clinic

🏢 William J Heringer Md A Professional Medical Corporation Facility NPI 1578107686

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Solvang, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +14.6 yrs vs City Avg

City Avg: 34.4 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Solvang, CA (18502 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

30.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heringer (49 Years) 49 Yrs

Solvang Specialty Average (34.4 Years) 34.4 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	541	177	$193.92	$126.74
99213 Established patient office or other outpatient visit, typically 15 minutes	174	134	$133.17	$90.47
99442 Telephone medical discussion with physician, 11-20 minutes	151	87	$153.87	$90.45
99443 Telephone medical discussion with physician, 21-30 minutes	131	76	$192.94	$126.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	123	123	$209.78	$124.84
90662 Influenza vaccine split virus, preservative free	116	115	$94.05	$81.48
G0008 Administration of influenza virus vaccine	115	114	$45.37	$34.22
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	73	26	$42.92	$24.11
G0009 Administration of pneumococcal vaccine	59	59	$45.10	$34.22
93000 Routine ekg using at least 12 leads including interpretation and report	59	47	$31.11	$14.24
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	59	59	$300.00	$288.19
69210 Removal of impacted ear wax	23	17	$84.32	$46.95
99496 Transitional care management services for problem of high complexity	21	19	$416.03	$277.56

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	511	183	$194.03	$136.75
99213 Established patient office or other outpatient visit, typically 15 minutes	194	156	$133.17	$97.13
99442 Telephone medical discussion with physician, 11-20 minutes	148	82	$156.72	$97.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	134	134	$209.78	$138.29
G0008 Administration of influenza virus vaccine	124	124	$44.81	$32.81
90662 Influenza vaccine split virus, preservative free	120	120	$95.17	$71.93
99443 Telephone medical discussion with physician, 21-30 minutes	112	70	$191.43	$136.32
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	85	31	$42.92	$26.01
G0009 Administration of pneumococcal vaccine	76	75	$44.01	$32.90
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	76	75	$295.33	$278.90
93000 Routine ekg using at least 12 leads including interpretation and report	45	38	$31.11	$15.62
99496 Transitional care management services for problem of high complexity	21	17	$416.03	$298.58

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	419	169	$194.03	$139.75
99213 Established patient office or other outpatient visit, typically 15 minutes	222	152	$133.17	$99.19
99442 Telephone medical discussion with physician, 11-20 minutes	158	84	$146.76	$98.80
G0008 Administration of influenza virus vaccine	138	138	$44.71	$32.91
90662 Influenza vaccine split virus, preservative free	134	134	$142.24	$68.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$210.10	$142.64
99443 Telephone medical discussion with physician, 21-30 minutes	97	55	$192.11	$139.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	92	26	$42.92	$26.39
93000 Routine ekg using at least 12 leads including interpretation and report	47	41	$31.11	$15.70
69210 Removal of impacted ear wax	18	17	$84.32	$51.74
99496 Transitional care management services for problem of high complexity	13	12	$416.03	$305.96

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	414	168	$194.03	$141.09
99213 Established patient office or other outpatient visit, typically 15 minutes	305	174	$133.17	$99.63
G0008 Administration of influenza virus vaccine	135	134	$35.57	$18.88
90662 Influenza vaccine split virus, preservative free	134	133	$94.78	$65.23
99442 Telephone medical discussion with physician, 11-20 minutes	128	81	$140.52	$98.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$209.78	$144.11
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	100	38	$42.92	$25.70
99443 Telephone medical discussion with physician, 21-30 minutes	83	50	$195.55	$141.10
99441 Telephone medical discussion with physician, 5-10 minutes	56	42	$104.20	$61.80
93000 Routine ekg using at least 12 leads including interpretation and report	50	42	$31.11	$16.19
99496 Transitional care management services for problem of high complexity	18	15	$416.03	$305.57
69210 Removal of impacted ear wax	17	16	$84.32	$51.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$257.82	$196.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	471	213	$133.17	$81.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	292	139	$194.03	$117.72
99442 Telephone medical discussion with physician, 11-20 minutes	154	96	$124.99	$79.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	153	153	$210.04	$126.01
G0008 Administration of influenza virus vaccine	121	120	$34.63	$17.77
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	114	49	$42.92	$25.79
90662 Influenza vaccine split virus, preservative free	97	96	$94.23	$60.73
99441 Telephone medical discussion with physician, 5-10 minutes	78	51	$82.63	$49.47
99443 Telephone medical discussion with physician, 21-30 minutes	71	49	$168.38	$116.08
93000 Routine ekg using at least 12 leads including interpretation and report	34	30	$31.11	$18.66
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	25	$92.60	$19.58
99496 Transitional care management services for problem of high complexity	20	18	$416.03	$266.70
69210 Removal of impacted ear wax	17	16	$84.32	$51.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$82.53	$49.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,320	12	$25.00	$18.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	660	219	$135.00	$115.28
99213 Established patient office or other outpatient visit, typically 15 minutes	269	183	$95.00	$78.92
G0008 Administration of influenza virus vaccine	172	171	$29.00	$17.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$250.00	$123.51
90662 Influenza vaccine split virus, preservative free	153	152	$61.54	$54.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	81	43	$37.00	$24.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	31	$50.00	$18.01
93000 Routine ekg using at least 12 leads including interpretation and report	63	53	$68.00	$18.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	46	$175.00	$153.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	46	22	$74.00	$72.09
99496 Transitional care management services for problem of high complexity	29	25	$281.38	$246.32
69210 Removal of impacted ear wax	19	17	$85.00	$50.26
99315 Nursing facility discharge day management, 30 minutes or less	18	13	$125.00	$76.61
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	13	$175.00	$135.69
G0009 Administration of pneumococcal vaccine	15	15	$29.00	$17.42
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$40.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,140	11	$25.00	$17.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	646	220	$133.93	$107.16
99213 Established patient office or other outpatient visit, typically 15 minutes	229	177	$94.59	$72.77
G0008 Administration of influenza virus vaccine	203	203	$29.00	$21.56
90662 Influenza vaccine split virus, preservative free	191	191	$55.00	$52.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	157	157	$250.00	$116.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	140	61	$37.00	$22.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	19	$50.00	$20.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	35	$175.00	$143.77
93000 Routine ekg using at least 12 leads including interpretation and report	45	35	$68.00	$17.04
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	12	$74.00	$68.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	17	$158.00	$101.41
99496 Transitional care management services for problem of high complexity	22	20	$250.00	$231.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	18	$247.00	$197.16
69210 Removal of impacted ear wax	19	16	$85.00	$48.42
99239 Hospital discharge day management, more than 30 minutes	18	16	$142.00	$105.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	14	$175.00	$128.65
G0009 Administration of pneumococcal vaccine	16	16	$29.00	$21.56
99315 Nursing facility discharge day management, 30 minutes or less	14	14	$125.00	$71.37
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$40.00	$18.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$85.00	$53.56

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	714	227	$125.00	$107.37
99213 Established patient office or other outpatient visit, typically 15 minutes	217	159	$90.00	$73.30
G0008 Administration of influenza virus vaccine	203	200	$29.00	$26.70
90662 Influenza vaccine split virus, preservative free	137	137	$55.00	$48.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	136	136	$250.00	$115.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	122	58	$37.00	$20.71
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	71	70	$40.00	$18.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	51	$175.00	$144.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	27	$158.00	$102.75
93000 Routine ekg using at least 12 leads including interpretation and report	56	45	$68.00	$17.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	18	$50.00	$26.24
99496 Transitional care management services for problem of high complexity	45	35	$250.00	$232.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	15	$74.00	$68.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	28	$247.00	$199.35
99239 Hospital discharge day management, more than 30 minutes	33	28	$142.00	$106.65
99497 Advance care planning, first 30 minutes	27	26	$100.00	$81.27
69210 Removal of impacted ear wax	18	14	$85.00	$46.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	16	$85.00	$54.13
G0009 Administration of pneumococcal vaccine	17	17	$29.00	$26.90
90670 Pneumococcal vaccine for injection into muscle	12	12	$220.00	$183.12

Medical Specialties & State Licenses

CMS Verified: 2020-07-27

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA G38247

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G382470 (CA)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 27, 2020

Registered at 2030 VIBORG RD STE 201, SOLVANG, CA 934633226 (Tel: 8056887200)

📍

Updated Business Mailing Address July 27, 2020

Registered at 2030 VIBORG RD STE 201, SOLVANG, CA 934633226 (Tel: 8056887200)

✅

NPI Profile Active August 23, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 23, 2012

Registered at 2030 VIBORG ROAD, SUITE 205, SOLVANG, CA 934632298 (Tel: 8056882600)

📍

Updated Business Mailing Address August 23, 2012

Registered at 2030 VIBORG ROAD, SUITE 205, SOLVANG, CA 934632298 (Tel: 8056882600)

👤

Provider Name / Credentials Updated August 23, 2012

Recorded as WILLIAM HERINGER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2012

Internal Medicine (License #G38247 in CA)

🟢

Initial NPI Registration & Enumeration August 21, 2006

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: 1528173127

Entity Type:

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

Enumeration Date: August 21, 2006

Last Update: July 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2030 Viborg Rd Ste 201

Solvang, CA 934633226

Phone: 8056887200

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.