Active NPI 1427246735 Individual Practitioner Male Practitioner

Dr. Scott Herron , MD

Orthopaedic Surgery • Temecula, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Herron, MD is a certified Orthopaedic Surgery practicing in Temecula, CA. With approximately 36 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 1990, Dr. Herron delivers high-quality medical care to the local community at 41278 MARGARITA RD.

Dr. Herron accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

41278 Margarita Rd
Suite 201

Temecula, CA 925915579

Telephone 9516931505

Associated Practice Facility / Clinic

🏢 Advanced Orthopaedic Surgery Center Facility NPI 1821011917

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Temecula, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs -6.0 yrs vs City Avg

City Avg: 42.0 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Temecula, CA (2527 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herron (36 Years) 36 Yrs

Temecula Specialty Average (42.0 Years) 42.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	38	27	$231.00	$93.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$375.00	$114.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$604.00	$172.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	34	$231.00	$93.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$375.00	$116.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$604.00	$176.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	45	$232.80	$95.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$375.00	$117.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$604.00	$203.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	29	$231.00	$97.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$375.00	$119.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$604.00	$208.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	43	$231.00	$79.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	28	$604.00	$213.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$375.00	$114.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	61	$231.00	$77.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	44	$604.00	$208.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$375.00	$113.16
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	18	18	$100.00	$27.20
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$5402.00	$1289.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	101	$231.00	$75.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$375.00	$111.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$604.00	$207.32
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	14	12	$100.00	$26.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	224	113	$231.00	$74.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$375.00	$109.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	47	$604.00	$202.24
73562 X-ray of knee, 3 views	31	20	$126.00	$28.86
73502 X-ray of hip, 2-3 views	25	14	$168.00	$31.87
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	15	15	$100.00	$25.15
73030 X-ray of shoulder, minimum of 2 views	15	12	$126.00	$22.98

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA G79144

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G791440 (CA)

Commercial Insurance / Payer ID Group Npi

1821011917

Commercial Insurance / Payer ID Medicaid Pin

7510137

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Steven Beal , DDS

Dentist - General Practice

NPI 1174538946

Doctor of Dental Surgery

Dr. Patrick Wei , DDS

Dentist - Endodontics

NPI 1497097372

Doctor of Dental Surgery

Rachel Taylor , PTA

Physical Therapy Assistant

NPI 1851749485

Physical Therapist Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 01, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2010

Registered at 41278 MARGARITA RD, SUITE 201, TEMECULA, CA 925915579 (Tel: 9516931505)

📍

Updated Business Mailing Address October 01, 2010

Registered at 41278 MARGARITA RD, SUITE 201, TEMECULA, CA 925915579 (Tel: 9516931505)

👤

Provider Name / Credentials Updated October 01, 2010

Recorded as SCOTT HERRON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2010

Orthopaedic Surgery (License #G79144 in CA)

🟢

Initial NPI Registration & Enumeration October 11, 2007

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: 1427246735

Entity Type:

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

Enumeration Date: October 11, 2007

Last Update: October 01, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

41278 Margarita Rd, Suite 201

Temecula, CA 925915579

Phone: 9516931505

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.