Nicholas Herrera, MD
NPI 1205149036 · Pediatric Nephrology Physician · Kansas City, KS
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Herrera, MD is a Pediatric Nephrology Physician provider in Kansas City, KS (NPI 1205149036).
Provider details
- NPI number
- 1205149036
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2020009023 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
330 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 233 | $132 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 69 | $110 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 28 | $166 |
Typical Medicare-allowed amounts for these services range $110–$166 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 41 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 200 | 49 |
| Losartan Potassium | 112 | 34 |
| Nifedipinebrand: Nifedipine Er | 107 | 33 |
| Carvedilol | 88 | 28 |
| Furosemide | 74 | 22 |
| Famotidine | 73 | 14 |
| Atorvastatin Calcium | 72 | 18 |
Practice location
Mailing address
Additional practice locations (1)
- 2401 Gillham RdKansas City, MO 64108-4619Phone: (816) 234-3000Fax: (816) 302-9939
Registry dates
- Enumerated
- 2010-07-21
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Frequently asked questions
- What is Nicholas Herrera's NPI number?
- Nicholas Herrera's National Provider Identifier (NPI) is 1205149036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Herrera's specialty?
- Nicholas Herrera is listed in the NPPES registry with a primary specialty of Pediatric Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Herrera located?
- Nicholas Herrera's practice location on file with NPPES is 3901 Rainbow Blvd, Kansas City, KS 66160-8500.
- What is Nicholas Herrera's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Herrera is (913) 588-3961.
- Does Nicholas Herrera accept Medicare?
- Nicholas Herrera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Herrera's NPI active?
- Yes — Nicholas Herrera's NPI (1205149036) is active in the NPPES registry as of the last update on 2025-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.