Active NPI 1073502530 Individual Practitioner Male Practitioner

Dr. Neil Herman , MD

Orthopaedic Surgery • Framingham, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Neil Herman, MD is a certified Orthopaedic Surgery practicing in Framingham, MA. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Herman delivers high-quality medical care to the local community at 761 WORCESTER RD.

Dr. Herman is affiliated with Concord Hospital-Laconia and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid from large joint, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

761 Worcester Rd

Framingham, MA 017015224

Telephone 5088792550

Associated Practice Facility / Clinic

🏢 Metrowest Imaging Center Llc Facility NPI 1154368348

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Framingham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs Matches City Avg

City Avg: 41.0 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Framingham, MA (746 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herman (41 Years) 41 Yrs

Framingham Specialty Average (41.0 Years) 41.0 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
20610 Aspiration and/or injection of fluid from large joint	123	84	$178.67	$45.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$181.06	$80.02
99213 Established patient office or other outpatient visit, typically 15 minutes	62	49	$147.29	$64.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$316.67	$130.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	25	$78.48	$34.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$216.40	$94.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	95	44	$19.00	$7.86
20610 Aspiration and/or injection of fluid from large joint	88	42	$117.00	$75.94
99213 Established patient office or other outpatient visit, typically 15 minutes	62	43	$202.00	$99.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	37	$298.00	$140.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$180.00	$81.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$299.00	$123.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$456.00	$169.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	82	$191.42	$100.92
20610 Aspiration and/or injection of fluid from large joint	122	61	$111.10	$73.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	111	27	$5.00	$1.11
J1030 Injection, methylprednisolone acetate, 40 mg	95	53	$18.03	$6.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$281.38	$120.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	40	$285.29	$142.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$424.84	$185.96
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$267.36	$107.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	148	89	$17.00	$5.68
20610 Aspiration and/or injection of fluid from large joint	129	80	$113.28	$74.16
99213 Established patient office or other outpatient visit, typically 15 minutes	113	82	$186.79	$102.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$275.00	$122.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	29	$274.00	$145.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$419.00	$187.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$112.00	$64.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	123	84	$22.04	$6.05
99213 Established patient office or other outpatient visit, typically 15 minutes	114	79	$208.07	$84.08
20610 Aspiration and/or injection of fluid from large joint	109	74	$252.08	$71.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	34	$139.55	$51.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$285.40	$121.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	24	$285.20	$122.33
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$212.48	$85.55
73562 X-ray of knee, 3 views	19	16	$165.00	$45.51
73030 X-ray of shoulder, minimum of 2 views	19	15	$110.00	$38.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	212	111	$27.00	$6.29
20610 Aspiration and/or injection of fluid from large joint	203	107	$375.00	$66.12
99213 Established patient office or other outpatient visit, typically 15 minutes	153	105	$220.00	$81.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	48	$330.00	$119.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$319.00	$119.85
73560 X-ray of knee, 1-2 views	45	33	$110.00	$42.13
73030 X-ray of shoulder, minimum of 2 views	44	40	$106.23	$35.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	35	$150.00	$50.49
73562 X-ray of knee, 3 views	38	36	$162.11	$41.81
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$220.00	$84.85
72100 X-ray of lower and sacral spine, 2-3 views	22	21	$115.00	$41.84
72170 X-ray of pelvis, 1-2 views	20	18	$110.00	$37.95
99221 Initial hospital inpatient care per day, typically 30 minutes	17	15	$286.00	$108.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$495.00	$180.51
73610 X-ray of ankle, minimum of 3 views	15	11	$110.00	$38.38
73501 X-ray of hip with pelvis, 1 view	15	15	$85.00	$35.36
73565 X-ray of both knees while standing	14	14	$121.00	$42.99
73502 X-ray of hip, 2-3 views	14	11	$117.00	$49.37
20605 Aspiration and/or injection of medium joint or joint capsule	13	12	$192.00	$56.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	275	127	$27.00	$6.66
20610 Aspiration and/or injection of fluid from large joint	266	123	$382.05	$67.68
99213 Established patient office or other outpatient visit, typically 15 minutes	191	129	$220.52	$80.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	49	$330.00	$118.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$319.00	$119.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	44	$150.00	$49.18
73560 X-ray of knee, 1-2 views	46	36	$112.39	$39.75
73562 X-ray of knee, 3 views	44	41	$166.25	$41.43
73030 X-ray of shoulder, minimum of 2 views	43	41	$110.00	$33.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$495.00	$180.79
72100 X-ray of lower and sacral spine, 2-3 views	23	23	$115.00	$40.19
73610 X-ray of ankle, minimum of 3 views	18	14	$110.00	$38.22
72040 X-ray of upper spine, 2-3 views	17	17	$115.00	$38.04
72170 X-ray of pelvis, 1-2 views	16	14	$110.00	$36.64
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$286.00	$102.37
73565 X-ray of both knees while standing	11	11	$121.00	$41.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	290	139	$27.00	$5.76
20610 Aspiration and/or injection of fluid from large joint	269	131	$380.58	$63.85
99213 Established patient office or other outpatient visit, typically 15 minutes	186	139	$220.00	$76.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$319.00	$113.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	53	$330.00	$112.44
73562 X-ray of knee, 3 views	56	54	$191.52	$45.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	42	$150.00	$46.31
73030 X-ray of shoulder, minimum of 2 views	44	40	$122.50	$35.27
73560 X-ray of knee, 1-2 views	38	29	$127.37	$38.99
72100 X-ray of lower and sacral spine, 2-3 views	20	20	$115.00	$38.16
73501 X-ray of hip with pelvis, 1 view	18	13	$85.00	$32.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$495.00	$170.55
72170 X-ray of pelvis, 1-2 views	15	15	$110.00	$34.82
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$286.00	$102.76
72040 X-ray of upper spine, 2-3 views	13	13	$115.00	$35.86

Medical Specialties & State Licenses

CMS Verified: 2020-02-04

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 73388

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

3086828 (MA)

Commercial Insurance / Payer ID Hphc

17564 (MA)

Commercial Insurance / Payer ID Bcbs

J11907 (MA)

Commercial Insurance / Payer ID Tufts

073388 (MA)

Hospital & Practice Group Affiliations

Concord Hospital-Laconia

80 Highland St, Laconia, NH 032463235

Phone: 6035272819

Secondary Practice Locations

1094 Worcester Rd

Framingham, MA 017025255

Phone: 5088792550

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. David Moore , MD

Orthopaedic Surgery

NPI 1316936867

Doctor of Medicine (M.D.)

Shirley Chan , PA-C

Physician Assistant - Surgical

NPI 1326224668

Physician Assistant (Certified)

Dr. Eli Olschewski , MD

Orthopaedic Surgery

NPI 1407816895

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location February 04, 2020

Registered at 761 WORCESTER RD, FRAMINGHAM, MA 017015224 (Tel: 5088792550)

✅

NPI Profile Active December 30, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 30, 2009

Registered at 1094 WORCESTER RD, FRAMINGHAM, MA 017025255 (Tel: 5088792550)

📍

Updated Business Mailing Address December 30, 2009

Registered at 460 TOTTEN POND RD, C/O MZI, WALTHAM, MA 024511991 (Tel: 7818909933)

👤

Provider Name / Credentials Updated December 30, 2009

Recorded as NEIL HERMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2009

Orthopaedic Surgery (License #73388 in MA)

🟢

Initial NPI Registration & Enumeration October 18, 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: 1073502530

Entity Type:

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

Enumeration Date: October 18, 2005

Last Update: February 04, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

460 Totten Pond Rd, C/o Mzi

Waltham, MA 024511991

Phone: 7818909933

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.