NPIMap

Individual provider Active NPI

Jay S. Herbst, M.D.

  • Dermatology Physician
  • Port Charlotte, FL
National Provider Identifier
1710047097
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0046734 Issued in FL
Practice address
2866 Tamiami TRL Ste a
Port Charlotte, FL 33952-5165
Phone
(941) 764-1055
Fax
(941) 764-7984
NPI assigned
Dec 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0046734 FL Primary
MOHS-Micrographic Surgery Physician 207ND0101X ME0046734 FL
Dermatopathology Physician 207ND0900X ME0046734 FL
Procedural Dermatology Physician 207NS0135X ME0046734 FL

Addresses

Primary practice location

2866 Tamiami TRL Ste a
Port Charlotte, FL 33952-5165

Mailing address

2866 Tamiami TRL Ste a
Port Charlotte, FL 33952-5165
Phone (941) 764-1055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000469 FL Practitioner - DermatologyPractitioner - Internal Medicine 8628244142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onspot-FLGroup PAC ID 3678984937, 43 clinicians
Jay S. Herbst M.D., P.a.Group PAC ID 2961678487, 3 clinicians

Practice addresses (Care Compare)

13770 Plantation Rd
Suite 103
Fort Myers, FL 33912-4460
Phone (941) 444-0011

16461 Domestic Ave
Fort Myers, FL 33912-6008
Phone (877) 266-7768

2866 -A Tamiami Trail
Port Charlotte, FL 33952-5165
Phone (941) 764-1055

2866 Tamiami TRL
Suite a
Port Charlotte, FL 33952-5165

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
97.77 of 100Reported as individual
Quality
95.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision115
Removal of tissue1-10
Removal of skin lesions1959
Removal of skin cancer678
Removal of nail tissue1-10
Removal or shaving of skin growth370
Skin biopsy721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Onspot-FL Dermatology CurrentSince Jan 1, 2023 Accepting new patients
Jay S. Herbst M.D., P.a. Procedural Dermatology CurrentSince Jul 11, 1985 Accepting new patients
MVP Medical Practice PC Past Accepting new patients

Locations

16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688

13770 Plantation Rd
#103
Fort Myers, FL 33912

2866 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 764-1055

Interoperability endpoints

  • Direct secure messaging: jherbst@onspotdermatology.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1710047097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2866 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525165",
            "telephone_number": "941-764-1055",
            "fax_number": "941-764-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2866 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525165",
            "telephone_number": "941-764-1055",
            "fax_number": "941-764-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBST",
        "first_name": "JAY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0046734",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME0046734",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME0046734",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME0046734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.