Kenneth Herbst, N.P.
NPI 1316226707 · Adult Health Nurse Practitioner · New York, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Herbst, N.P. is a Adult Health Nurse Practitioner provider in New York, NY (NPI 1316226707).
Provider details
- NPI number
- 1316226707
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Male
- Sole proprietor
- No
- License
- F305825 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
322 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) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 145 | $125 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 109 | $75 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 57 | $80 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 11 | $112 |
Typical Medicare-allowed amounts for these services range $75–$125 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-16
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Frequently asked questions
- What is Kenneth Herbst's NPI number?
- Kenneth Herbst's National Provider Identifier (NPI) is 1316226707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Herbst's specialty?
- Kenneth Herbst is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Herbst located?
- Kenneth Herbst's practice location on file with NPPES is 505 E 70th St, New York, NY 10021-4872.
- What is Kenneth Herbst's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Herbst is (212) 746-2942.
- Does Kenneth Herbst accept Medicare?
- Kenneth Herbst is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Herbst's NPI active?
- Yes — Kenneth Herbst's NPI (1316226707) is active in the NPPES registry as of the last update on 2021-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.