Nicole Herbst, MD
NPI 1962896381 · Pulmonary Disease Physician · Hershey, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Herbst, MD is a Pulmonary Disease Physician provider in Hershey, PA (NPI 1962896381).
Provider details
- NPI number
- 1962896381
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 273521 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
145 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 86 | $209 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 18 | $8 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 15 | $10 |
| Test to Measure Expiratory Airflow and Volume94010 | 13 | $8 |
| Test to Determine Lung Volumes Using Sensors94726 | 13 | $11 |
Typical Medicare-allowed amounts for these services range $8–$209 (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 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 16 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$125 across 1 record (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
Additional practice locations (3)
- 615 Michael St NeAtlanta, GA 30322-1047Phone: (570) 687-4403
- 72 E. NewtonEvans 124Boston, MA 02118Phone: (617) 638-7253
- 725 Albany StShapiro 5 and 6Boston, MA 02118-2526Phone: (617) 414-5951Fax: (617) 414-9251
Registry dates
- Enumerated
- 2015-03-24
- Last updated
- 2024-10-08
- Certified
- 2024-10-04
Frequently asked questions
- What is Nicole Herbst's NPI number?
- Nicole Herbst's National Provider Identifier (NPI) is 1962896381, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Herbst's specialty?
- Nicole Herbst is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Nicole Herbst located?
- Nicole Herbst's practice location on file with NPPES is 500 University Dr, Hershey, PA 17033.
- What is Nicole Herbst's phone number?
- The practice phone number listed in the NPPES registry for Nicole Herbst is (800) 243-1455.
- Does Nicole Herbst accept Medicare?
- Nicole Herbst is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Herbst's NPI active?
- Yes — Nicole Herbst's NPI (1962896381) is active in the NPPES registry as of the last update on 2024-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.