Active NPI
Vincent P Herbst, M.D.
- Procedural Dermatology Physician
- Williamsport, PA
National Provider Identifier
1447218466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 027240E
- Practice address
- 904 Campbell St
Suite 206
Williamsport, PA 17701-3166 - Phone
- (570) 322-1600
- Fax
- (570) 322-6160
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 027240E | PA | Primary |
Addresses
Primary practice location
904 Campbell St
Suite 206
Williamsport, PA 17701-3166
Mailing address
904 Campbell St
Suite 206
Williamsport, PA 17701-3166
Phone (570) 322-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010585600001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100106000458 | PA | Practitioner - Dermatology | 2769523281 | Practice locations: Williamsport, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1201 Grampian Blvd
Suite 2a
Williamsport, PA 17701-1965
Phone (570) 322-1600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.42 of 100
- Quality
- 94.83
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 122 |
| Removal of skin lesions | 2159 |
| Removal or shaving of skin growth | 83 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027240E | PA | MD | Procedural Dermatology Physician |
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsport, PA
- NPI 1609801976
-
- Psychiatric Hospital Unit
- Williamsport, PA
- NPI 1649746488
-
- General Acute Care Hospital
- Williamsport, PA
- NPI 1740365097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1447218466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 CAMPBELL ST",
"address_2": "SUITE 206",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013166",
"telephone_number": "570-322-1600",
"fax_number": "570-322-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 CAMPBELL ST",
"address_2": "SUITE 206",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013166",
"telephone_number": "570-322-1600",
"fax_number": "570-322-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBST",
"first_name": "VINCENT",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "PA",
"license": "027240E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010585600001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.