Diego Herrera, DO
NPI 1528623535 · Sports Medicine (Family Medicine) Physician · Dawsonville, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Diego Herrera, DO is a Sports Medicine (Family Medicine) Physician provider in Dawsonville, GA (NPI 1528623535).
Provider details
- NPI number
- 1528623535
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 89688 (GA)
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 tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
205 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 86 | $89 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 51 | $126 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 37 | $9 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 20 | $157 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 11 | $106 |
Typical Medicare-allowed amounts for these services range $9–$157 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 133 | 52 |
| Amlodipine Besylate | 81 | 32 |
| Levothyroxine Sodium | 54 | 21 |
| Rosuvastatin Calcium | 52 | 21 |
| Lisinopril | 43 | 14 |
| Sertraline Hcl | 38 | — |
| Olmesartan Medoxomil |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$136 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-06
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Frequently asked questions
- What is Diego Herrera's NPI number?
- Diego Herrera's National Provider Identifier (NPI) is 1528623535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Diego Herrera's specialty?
- Diego Herrera is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Diego Herrera located?
- Diego Herrera's practice location on file with NPPES is 81 Northside Dawson Dr Ste 100, Dawsonville, GA 30534-7164.
- What is Diego Herrera's phone number?
- The practice phone number listed in the NPPES registry for Diego Herrera is (855) 647-7678.
- Does Diego Herrera accept Medicare?
- Diego Herrera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Diego Herrera's NPI active?
- Yes — Diego Herrera's NPI (1528623535) is active in the NPPES registry as of the last update on 2025-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.