Active NPI 1295708345 Individual Practitioner Male Practitioner

Dr. Tom M. Herbert , MD

Hospitalist • Reno, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tom Herbert, MD is a certified Hospitalist practicing in Reno, NV. With approximately 25 years of clinical experience since graduating from University Of Nevada School Of Medicine in 2001, Dr. Herbert delivers high-quality medical care to the local community at 1155 MILL ST.

Dr. Herbert is affiliated with Community Care Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof 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

1155 Mill St

Reno, NV 895021576

Telephone 7759827878

Fax 7759824196

Associated Practice Facility / Clinic

🏢 Reno Radiological Associates, Chartered Facility NPI 1780680017

Medicare Profile & Education

Medical School

University Of Nevada School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Reno, NV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +9.0 yrs vs City Avg

City Avg: 16.0 Yrs

State Avg: 17.2 Yrs

Regional Practice Density

101 Specialists

Practicing in Reno, NV (239 Statewide)

Telehealth Adoption Rate

3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herbert (25 Years) 25 Yrs

Reno Specialty Average (16.0 Years) 16.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	694	119	$160.00	$130.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	310	303	$533.00	$165.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	293	185	$366.00	$114.02
99239 Hospital discharge day management, more than 30 minutes	107	105	$352.00	$110.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	105	32	$35.00	$14.76
J1885 Injection, ketorolac tromethamine, per 15 mg	100	13	$14.38	$0.67
99291 Critical care, first 30-74 minutes	85	47	$656.00	$203.47
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	83	24	$20.00	$6.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$150.00	$131.85
90662 Influenza vaccine split virus, preservative free	55	53	$150.00	$81.10
G0008 Administration of influenza virus vaccine	54	52	$55.00	$32.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	48	$243.00	$75.72
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	48	45	$75.00	$63.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$400.00	$125.60
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	25	24	$289.64	$80.17
99497 Advance care planning, first 30 minutes	22	19	$231.00	$72.64
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	12	12	$77.00	$11.61
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$220.00	$167.41
62270 Spinal tap for diagnosis	11	11	$284.82	$60.67

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	655	125	$160.00	$130.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	280	168	$295.00	$120.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	255	251	$571.00	$175.09
J1885 Injection, ketorolac tromethamine, per 15 mg	216	27	$15.00	$0.55
99239 Hospital discharge day management, more than 30 minutes	115	113	$302.00	$114.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	102	38	$34.66	$14.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$150.00	$131.91
99291 Critical care, first 30-74 minutes	83	41	$634.00	$215.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	58	$205.00	$79.88
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	73	22	$20.00	$6.56
90662 Influenza vaccine split virus, preservative free	69	69	$149.57	$71.88
G0008 Administration of influenza virus vaccine	69	69	$54.64	$31.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	11	$13.00	$1.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$390.00	$131.49
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	24	20	$70.83	$61.12
99497 Advance care planning, first 30 minutes	17	17	$224.00	$76.08
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	16	$249.00	$84.97
81002 Urinalysis, manual test	16	12	$15.00	$3.41
G0009 Administration of pneumococcal vaccine	13	12	$45.00	$31.40
90671 Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use	11	11	$325.00	$241.28

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	634	117	$160.00	$132.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	294	166	$291.14	$104.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	186	182	$561.65	$202.37
J1885 Injection, ketorolac tromethamine, per 15 mg	136	23	$15.00	$0.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	63	$202.75	$72.64
99239 Hospital discharge day management, more than 30 minutes	87	85	$297.17	$107.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$150.00	$134.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	34	$35.43	$14.93
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	64	20	$20.31	$6.65
G0008 Administration of influenza virus vaccine	63	62	$40.00	$30.74
90662 Influenza vaccine split virus, preservative free	61	60	$120.00	$68.43
99291 Critical care, first 30-74 minutes	43	24	$621.72	$216.73
0134A Fee covid-19 vac 14 res	37	37	$75.00	$40.70
91313 Coronavirus vaccine 14	37	37	$50.00	$0.01
99220 Hospital observation care, typically 70 minutes	29	29	$504.69	$182.61

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	509	109	$151.71	$135.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	240	178	$257.96	$106.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	125	$519.07	$206.79
J1885 Injection, ketorolac tromethamine, per 15 mg	100	15	$15.00	$0.50
91301 Sarscov2 vac 100mcg/0.5ml im	82	62	$1.00	$0.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$149.24	$139.42
G0008 Administration of influenza virus vaccine	64	64	$39.53	$18.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	44	$186.98	$73.12
90662 Influenza vaccine split virus, preservative free	61	60	$120.00	$65.26
0013A Adm sarscov2 100mcg/0.5ml3rd	57	57	$90.00	$42.51
99239 Hospital discharge day management, more than 30 minutes	53	53	$277.87	$108.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	24	$36.35	$15.02
99220 Hospital observation care, typically 70 minutes	35	35	$450.77	$187.58
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	34	13	$20.00	$7.25
38222 Biopsy and aspiration of bone marrow sample for diagnosis	29	29	$290.45	$80.72
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	24	24	$76.58	$13.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$138.82	$117.72
0011A Adm sarscov2 100mcg/0.5ml1st	14	14	$28.93	$24.41
0012A Adm sarscov2 100mcg/0.5ml2nd	11	11	$46.82	$38.70

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	408	100	$120.05	$114.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	252	132	$229.00	$107.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	228	224	$435.00	$208.96
J1885 Injection, ketorolac tromethamine, per 15 mg	164	21	$15.00	$0.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	127	79	$160.00	$74.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	32	$35.00	$15.06
99220 Hospital observation care, typically 70 minutes	80	80	$381.00	$192.10
99239 Hospital discharge day management, more than 30 minutes	71	71	$243.00	$109.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$130.00	$122.65
G0008 Administration of influenza virus vaccine	44	43	$25.00	$17.67
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	41	14	$19.27	$7.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	15	$94.00	$40.83
90662 Influenza vaccine split virus, preservative free	37	36	$79.19	$60.98
99219 Hospital observation care, typically 50 minutes	25	24	$279.00	$141.00
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$140.00	$117.29
38222 Biopsy and aspiration of bone marrow sample for diagnosis	23	23	$355.00	$82.10
G0009 Administration of pneumococcal vaccine	22	22	$30.00	$17.52
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	19	19	$107.00	$12.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	613	298	$229.00	$104.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	235	230	$435.00	$204.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	92	$160.00	$73.16
99239 Hospital discharge day management, more than 30 minutes	78	78	$243.00	$108.61
99220 Hospital observation care, typically 70 minutes	56	56	$381.00	$187.77
38222 Biopsy and aspiration of bone marrow sample for diagnosis	42	42	$354.14	$80.50
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	34	34	$107.00	$12.56
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$573.00	$87.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	951	384	$229.00	$103.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	146	146	$435.00	$198.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	121	90	$160.00	$72.56
99239 Hospital discharge day management, more than 30 minutes	84	82	$243.00	$107.15
99291 Critical care, first 30-74 minutes	39	31	$643.00	$223.15
38222 Biopsy and aspiration of bone marrow sample for diagnosis	38	36	$353.00	$79.55
99220 Hospital observation care, typically 70 minutes	35	34	$381.00	$187.01
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	26	25	$107.00	$12.72
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	19	19	$573.00	$99.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	711	324	$229.00	$105.07
99291 Critical care, first 30-74 minutes	206	133	$643.00	$224.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	166	108	$160.00	$72.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	155	155	$435.00	$203.24
99239 Hospital discharge day management, more than 30 minutes	60	59	$243.00	$108.66
99220 Hospital observation care, typically 70 minutes	43	43	$381.00	$183.94
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	27	27	$573.00	$123.52
38221 Needle or trocar bone marrow biopsy	27	26	$416.00	$76.77
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	21	21	$106.14	$12.46

Medical Specialties & State Licenses

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License NV 11018

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License NV 11018

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1295708345 (NV)

Commercial Insurance / Payer ID Caqh

11647714

Commercial Insurance / Payer ID Railroad Medicare

P00195508 (NV)

Hospital & Practice Group Affiliations

Community Care Services Llc

1155 Mill St, Reno, NV 895021576

Phone: 7759824000

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Medicine (M.D.)

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Hospitalist

NPI 1023404696

Doctor of Medicine (M.D.)

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Hospitalist

NPI 1023498607

Doctor of Medicine (M.D.)

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Hospitalist

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Doctor of Medicine (M.D.)

Dr. Brendan Bird , DO

Hospitalist

NPI 1023543394

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active December 15, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address December 15, 2017

Registered at 850 HARVARD WAY, RENO, NV 895022055 (Tel: 7759825262)

📍

Updated Practice Location December 15, 2017

Registered at 1155 MILL ST, RENO, NV 895021576 (Tel: 7759827878)

👤

Provider Name / Credentials Updated December 15, 2017

Recorded as TOM HERBERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2017

Family Medicine (License #11018 in NV)

✅

NPI Profile Active February 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2014

Registered at 1155 MILL ST, RENO, NV 895021576 (Tel: 7759827878)

📍

Updated Business Mailing Address February 07, 2014

Registered at 780 KUENZLI ST, STE 202, RENO, NV 895020845 (Tel: 7759824590)

👤

Provider Name / Credentials Updated February 07, 2014

Recorded as TOM HERBERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2014

Family Medicine (License #11018 in NV)

🟢

Initial NPI Registration & Enumeration February 09, 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: 1295708345

Entity Type:

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

Enumeration Date: February 09, 2006

Last Update: December 15, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

850 Harvard Way

Reno, NV 895022055

Phone: 7759825262

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.