Active NPI 1477574234 Individual Practitioner Male Practitioner

Dr. Jay Bernard Herman , MD

Urology • Pittsburgh, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jay Herman, MD is a certified Urology practicing in Pittsburgh, PA. With approximately 47 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1979, Dr. Herman delivers high-quality medical care to the local community at 532 S AIKEN AVE.

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

Frequently performed procedures and clinical services include urinalysis, manual test, ultrasound measurement of bladder capacity after voiding, 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

532 S Aiken Ave
Suite 210

Pittsburgh, PA 15232

Telephone 4126815433

Fax 4126817321

Associated Practice Facility / Clinic

🏢 Nv Podiatry Facility NPI 1407857451

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Pittsburgh, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +25.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

67 Specialists

Practicing in Pittsburgh, PA (720 Statewide)

Telehealth Adoption Rate

38.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herman (47 Years) 47 Yrs

Pittsburgh Specialty Average (21.8 Years) 21.8 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
81002 Urinalysis, manual test	633	241	$7.00	$3.40
51798 Ultrasound measurement of bladder capacity after voiding	621	247	$45.00	$10.27
99213 Established patient office or other outpatient visit, typically 15 minutes	614	232	$120.00	$85.68
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	235	21	$400.00	$178.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	38	$95.00	$46.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	57	$143.17	$121.30
36415 Insertion of needle into vein for collection of blood sample	70	67	$12.00	$8.65
84153 Psa (prostate specific antigen) measurement, total	69	66	$90.00	$18.02
99442 Telephone medical discussion with physician, 11-20 minutes	68	28	$100.00	$85.45
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	59	21	$70.00	$32.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	49	$160.00	$123.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$195.00	$158.40
52332 Insertion of stent in urinary duct (ureter) using an endoscope	39	35	$861.54	$186.00
52000 Diagnostic exam of bladder and urethra using an endoscope	38	20	$395.00	$221.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	630	232	$120.00	$86.21
81002 Urinalysis, manual test	602	233	$7.00	$3.38
51798 Ultrasound measurement of bladder capacity after voiding	586	234	$45.00	$9.95
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	213	20	$400.00	$171.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	88	$140.00	$121.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	120	45	$95.00	$47.88
84153 Psa (prostate specific antigen) measurement, total	76	76	$90.00	$18.02
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	54	20	$70.00	$31.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	52	$160.00	$125.47
52332 Insertion of stent in urinary duct (ureter) using an endoscope	44	35	$871.02	$194.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$195.00	$159.70
36415 Insertion of needle into vein for collection of blood sample	38	38	$12.00	$8.40
36410 Insertion of needle into vein, patient 3 years or older	37	37	$25.00	$16.65
52000 Diagnostic exam of bladder and urethra using an endoscope	33	19	$395.00	$227.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$225.00	$167.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$135.00	$76.24
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1200.00	$393.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	619	237	$120.00	$88.01
81002 Urinalysis, manual test	612	235	$7.00	$3.43
51798 Ultrasound measurement of bladder capacity after voiding	598	245	$45.00	$9.93
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	222	20	$400.00	$175.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	109	$140.00	$124.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	36	$95.00	$37.59
84153 Psa (prostate specific antigen) measurement, total	69	67	$90.00	$18.12
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	57	21	$70.00	$31.89
36415 Insertion of needle into vein for collection of blood sample	50	50	$7.00	$2.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$195.00	$162.75
52000 Diagnostic exam of bladder and urethra using an endoscope	38	21	$395.00	$237.80
36410 Insertion of needle into vein, patient 3 years or older	33	33	$25.00	$17.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	20	$814.66	$176.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$160.00	$126.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$225.00	$192.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	714	247	$114.59	$89.11
81002 Urinalysis, manual test	628	247	$7.00	$3.47
51798 Ultrasound measurement of bladder capacity after voiding	594	253	$45.00	$9.76
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	238	22	$400.00	$177.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	186	65	$86.77	$37.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	85	$134.71	$123.69
36415 Insertion of needle into vein for collection of blood sample	100	97	$7.00	$3.00
84153 Psa (prostate specific antigen) measurement, total	82	80	$90.00	$18.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	57	$160.00	$132.96
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	59	23	$70.00	$31.14
52332 Insertion of stent in urinary duct (ureter) using an endoscope	43	31	$695.35	$149.63
52000 Diagnostic exam of bladder and urethra using an endoscope	43	21	$395.00	$229.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$158.13	$109.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$191.07	$163.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	13	$124.00	$70.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$225.00	$195.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	739	241	$95.00	$73.15
51798 Ultrasound measurement of bladder capacity after voiding	542	230	$45.00	$9.78
81002 Urinalysis, manual test	517	216	$7.00	$3.46
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	230	21	$669.63	$222.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	137	48	$65.00	$39.15
36415 Insertion of needle into vein for collection of blood sample	91	84	$7.00	$2.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	59	$160.00	$136.94
84153 Psa (prostate specific antigen) measurement, total	61	56	$90.00	$18.26
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	59	23	$70.34	$30.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	29	$115.00	$104.58
52000 Diagnostic exam of bladder and urethra using an endoscope	47	19	$395.00	$205.22
52332 Insertion of stent in urinary duct (ureter) using an endoscope	46	36	$833.15	$179.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$120.00	$105.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	768	254	$95.00	$69.77
51798 Ultrasound measurement of bladder capacity after voiding	608	248	$45.00	$11.64
81002 Urinalysis, manual test	561	216	$7.00	$3.41
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	247	23	$674.40	$225.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	43	$65.00	$37.54
36415 Insertion of needle into vein for collection of blood sample	80	71	$7.00	$2.94
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	70	23	$70.00	$28.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	61	$160.00	$130.62
52000 Diagnostic exam of bladder and urethra using an endoscope	51	25	$395.00	$177.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$120.00	$102.30
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	23	$771.09	$152.78
84153 Psa (prostate specific antigen) measurement, total	28	27	$90.00	$20.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	767	268	$95.00	$66.94
51798 Ultrasound measurement of bladder capacity after voiding	580	257	$45.00	$14.14
81002 Urinalysis, manual test	499	192	$7.00	$3.41
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	320	32	$674.40	$213.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	172	59	$65.00	$36.53
36415 Insertion of needle into vein for collection of blood sample	98	83	$7.00	$2.94
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	92	32	$70.00	$27.64
84153 Psa (prostate specific antigen) measurement, total	91	79	$90.00	$22.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	74	$160.00	$127.34
52000 Diagnostic exam of bladder and urethra using an endoscope	37	21	$395.00	$151.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$120.00	$99.28
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	20	$525.00	$157.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	11	$115.00	$98.58
52353 Crushing of stone of ureter using an endoscope	16	15	$1200.00	$374.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	782	269	$95.00	$66.07
51798 Ultrasound measurement of bladder capacity after voiding	590	261	$45.00	$17.05
81002 Urinalysis, manual test	556	202	$7.00	$3.43
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	355	34	$674.40	$208.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	271	78	$65.00	$36.05
84153 Psa (prostate specific antigen) measurement, total	120	99	$90.00	$24.73
36415 Insertion of needle into vein for collection of blood sample	117	97	$7.00	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	115	96	$160.00	$125.59
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	95	34	$70.00	$28.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$120.00	$97.98
52000 Diagnostic exam of bladder and urethra using an endoscope	40	23	$395.00	$148.37
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	27	$525.00	$157.43

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License PA 024103E

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0009518040003 (PA)

Commercial Insurance / Payer ID Gateway

1013373

Commercial Insurance / Payer ID Aetna

450784HMO

Commercial Insurance / Payer ID Ushc

0450784

Commercial Insurance / Payer ID Three Rivers

60570

Commercial Insurance / Payer ID Med Plus

60570

Commercial Insurance / Payer ID Aetna

4020832PPO

Practice Associates & Co-Workers

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

25 Associated Practitioners

James Sahovey

Internal Medicine

NPI 1013085299

Dr. Keith Kanel , MD

Specialist

NPI 1023082682

Doctor of Medicine (M.D.)

Dr. David Vilsack , DPM

Podiatrist

NPI 1124029681

Doctor of Podiatric Medicine

Alexandra Mastro , PA-C

Physician Assistant - Medical

NPI 1144699299

Physician Assistant (Certified)

Renee Krugger

Physician Assistant - Surgical

NPI 1174997191

Carolyn Ellis

Specialist

NPI 1225001548

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 24, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2008

Registered at 532 S AIKEN AVE, SUITE 210, PITTSBURGH, PA 15232 (Tel: 4126815433)

📍

Updated Business Mailing Address March 24, 2008

Registered at 532 S AIKEN AVE, SUITE 210, PITTSBURGH, PA 15232 (Tel: 4126815433)

👤

Provider Name / Credentials Updated March 24, 2008

Recorded as JAY HERMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2008

Urology (License #024103E in PA)

🟢

Initial NPI Registration & Enumeration July 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: 1477574234

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: March 24, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

532 S Aiken Ave, Suite 210

Pittsburgh, PA 15232

Phone: 4126815433

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.