Active NPI 1891081360 Individual Practitioner Male Practitioner

Dr. Anthony Joseph Herrera , MD

Surgery • Fond Du Lac, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Herrera, MD is a certified Surgery practicing in Fond Du Lac, WI. With approximately 15 years of clinical experience since graduating from Medical College Of Wisconsin in 2011, Dr. Herrera delivers high-quality medical care to the local community at 210 WISCONSIN AMERICAN DR.

Dr. Herrera is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 Wisconsin American Dr

Fond Du Lac, WI 549372999

Telephone 9209077000

Fax 9209077401

Associated Practice Facility / Clinic

🏢 Aurora Pharmacy Inc Facility NPI 1518991736

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fond Du Lac, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -12.7 yrs vs City Avg

City Avg: 27.7 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Fond Du Lac, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

95.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herrera (15 Years) 15 Yrs

Fond Du Lac Specialty Average (27.7 Years) 27.7 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	45	33	$515.00	$114.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$755.00	$150.01
45380 Biopsy of large bowel using an endoscope	28	28	$3640.00	$37.78
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$4490.00	$222.09
45380 Biopsy of large bowel using an endoscope	22	22	$3640.00	$44.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$4490.00	$212.14

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	38	26	$490.00	$116.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	18	$370.00	$75.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$720.00	$158.81
45380 Biopsy of large bowel using an endoscope	25	25	$3480.00	$86.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$4350.00	$236.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$590.00	$123.88
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$4350.00	$219.41
45380 Biopsy of large bowel using an endoscope	14	14	$3480.00	$51.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$2650.00	$74.19

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	64	33	$465.00	$118.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	20	$355.00	$63.61
45380 Biopsy of large bowel using an endoscope	19	19	$3350.00	$86.89
45380 Biopsy of large bowel using an endoscope	17	17	$3350.00	$148.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$2540.00	$53.17
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$4180.00	$224.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$565.00	$119.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$687.00	$160.27

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	43	18	$435.00	$122.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	11	$330.00	$67.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$645.00	$162.18
45380 Biopsy of large bowel using an endoscope	12	12	$3180.00	$74.42
45380 Biopsy of large bowel using an endoscope	12	12	$3180.00	$87.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$554.55	$118.62

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	49	29	$416.00	$103.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	16	$315.00	$67.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$608.00	$159.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$591.00	$142.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$510.00	$134.14
45380 Biopsy of large bowel using an endoscope	12	12	$2980.00	$137.11
45380 Biopsy of large bowel using an endoscope	12	12	$2980.00	$106.78
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$3770.00	$240.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$582.00	$155.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	24	$393.00	$98.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	15	$307.00	$70.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$575.61	$138.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$488.00	$132.39

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	61	36	$374.00	$95.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	52	$546.00	$132.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	16	$292.00	$64.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$554.00	$128.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$478.25	$122.47
45380 Biopsy of large bowel using an endoscope	11	11	$2660.00	$121.35

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	48	33	$356.00	$96.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	45	$520.60	$130.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	19	$457.00	$131.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$528.00	$143.16

Medical Specialties & State Licenses

CMS Verified: 2025-08-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 65762-020

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

100059946 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

210 Wisconsin American Dr, Fond Du Lac, WI 549372999

Phone: 9209074800

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jeanette Roehl , APNP FNP

Nurse Practitioner

NPI 1003593740

APNPFNP

Theresa Baseley , NP

Nurse Practitioner

NPI 1043279805

Nurse Practitioner

Dr. Scott Stellmacher , MD

Family Medicine

NPI 1043327265

Doctor of Medicine (M.D.)

Dr. Donald Steward , MD

Pediatrics

NPI 1083718258

Doctor of Medicine (M.D.)

Dr. Barbara Zink , MD

Pediatrics

NPI 1104809284

Doctor of Medicine (M.D.)

Dr. Steven Sandstrom , MD

Psychiatry & Neurology - Neurology

NPI 1174625610

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address August 05, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2025

Surgery (License #65762-020 in WI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2021

Surgery (License #A124294 in CA)

✅

NPI Profile Active August 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2016

Registered at 210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 549372999 (Tel: 9209077000)

📍

Updated Business Mailing Address August 08, 2016

Registered at 210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 549372999 (Tel: 9209077000)

👤

Provider Name / Credentials Updated August 08, 2016

Recorded as ANTHONY HERRERA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2016

Surgery (License #65762-020 in WI)

🟢

Initial NPI Registration & Enumeration June 23, 2011

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: 1891081360

Entity Type:

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

Enumeration Date: June 23, 2011

Last Update: August 05, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.