Active NPI 1851359467 Individual Practitioner Male Practitioner

Dr. Javier Herrera , MD

Surgery • Edmonds, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Javier Herrera, MD is a certified Surgery practicing in Edmonds, WA. With approximately 34 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1992, Dr. Herrera delivers high-quality medical care to the local community at 21616 76TH AVE W STE 201A.

Dr. Herrera is affiliated with Swedish Health Services and accepts Medicare assignment.

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

21616 76th Ave W Ste 201a

Edmonds, WA 980267512

Telephone 4256733400

Fax 4256733401

Associated Practice Facility / Clinic

🏢 Swedish Health Services Facility NPI 1720033145

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Edmonds, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +9.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

11 Specialists

Practicing in Edmonds, WA (818 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herrera (34 Years) 34 Yrs

Edmonds Specialty Average (25.0 Years) 25.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	24	$205.00	$77.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$545.00	$170.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$507.61	$166.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$511.00	$173.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$479.30	$168.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$194.00	$79.26
47562 Removal of gallbladder using an endoscope	17	17	$2271.34	$639.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$619.67	$221.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$509.87	$181.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$352.00	$129.44
49505 Repair of groin hernia (5 years or older)	12	12	$1592.65	$502.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	27	$194.00	$69.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$511.00	$191.82
47562 Removal of gallbladder using an endoscope	19	19	$2025.26	$646.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$480.00	$168.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	35	$342.00	$134.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	22	$194.00	$69.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	21	$109.00	$38.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$508.00	$201.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	21	$192.00	$72.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$504.00	$205.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	15	$108.00	$39.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$339.00	$140.39
47562 Removal of gallbladder using an endoscope	15	15	$1622.14	$539.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	62	$209.70	$73.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	22	$109.32	$38.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$310.00	$106.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$484.96	$159.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$197.43	$73.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$535.05	$204.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$597.00	$207.65
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$156.67	$51.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$364.88	$131.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$125.60	$44.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	87	$210.00	$71.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	67	$310.00	$102.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$483.00	$161.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	19	$115.00	$39.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	30	$126.00	$43.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$315.00	$103.11
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$155.63	$51.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$599.00	$206.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$403.00	$137.97
19301 Partial removal of breast	20	17	$1998.00	$684.16
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$1341.00	$229.26
38900 Lymph node imaging during surgery	14	14	$427.00	$147.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$417.00	$144.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	101	$210.00	$70.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	56	$126.00	$41.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$483.00	$162.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	52	$310.00	$100.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$319.31	$107.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	26	$115.00	$39.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$403.00	$137.53
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	22	22	$2226.00	$740.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$599.00	$205.66
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$299.00	$97.56
49505 Repair of groin hernia (5 years or older)	12	12	$1605.00	$545.29
19301 Partial removal of breast	12	11	$1998.00	$664.98

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD60921397

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

274288800 (FL)

Medicaid State Provider ID

888800500C (GA)

Commercial Insurance / Payer ID Avmed

291561

Commercial Insurance / Payer ID Aetna

7624216

Commercial Insurance / Payer ID Cigna

8787152

Commercial Insurance / Payer ID Bcbs Fl

37343

Hospital & Practice Group Affiliations

Swedish Health Services

7320 216th St Sw, Edmonds, WA 980268006

Swedish Health Services

21616 76th Ave W, Edmonds, WA 980267512

Swedish Health Services

21601 76th Ave W, Edmonds, WA 980267507

Phone: 4256404000

Swedish Health Services

747 Broadway, Seattle, WA 981224379

Phone: 2063866000

Practice Associates & Co-Workers

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

6 Associated Practitioners

Zachary Weaver , PA-C

Physician Assistant - Surgical

NPI 1013482892

Physician Assistant (Certified)

Lauren Hunter , PA-C

Physician Assistant - Surgical

NPI 1316582695

Physician Assistant (Certified)

Dr. Oliver Bellevue , MD

Surgery

NPI 1457771636

Doctor of Medicine (M.D.)

Dr. Shelby Reiter , MD

Surgery

NPI 1477084770

Doctor of Medicine (M.D.)

Dr. Bennett Johnson , MD

Surgery - Trauma Surgery

NPI 1629481379

Doctor of Medicine (M.D.)

Jeffrey Robin , PA-C

Physician Assistant - Surgical

NPI 1861422826

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location August 02, 2019

Registered at 21616 76TH AVE W STE 201A, EDMONDS, WA 980267512 (Tel: 4256733400)

📍

Updated Business Mailing Address August 02, 2019

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

👤

Provider Name / Credentials Updated August 02, 2019

Recorded as JAVIER HERRERA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2019

Surgery (License #MD60921397 in WA)

✅

NPI Profile Active August 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2015

Registered at 2 SHIRCLIFF WAY, SUITE 500, JACKSONVILLE, FL 322044763 (Tel: 9043898861)

📍

Updated Business Mailing Address August 20, 2015

Registered at 11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 322231627 (Tel: 9043961725)

👤

Provider Name / Credentials Updated August 20, 2015

Recorded as JAVIER HERRERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2015

Surgery (License #ME89008 in FL)

🟢

Initial NPI Registration & Enumeration May 03, 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: 1851359467

Entity Type:

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

Enumeration Date: May 03, 2006

Last Update: August 02, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 25608

Salt Lake City, UT 841250608

Phone: 2063204476

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.