✓ Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) (207Q00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MATT E. HERBER, MD (NPI #1760451660)

Family Medicine • DELL RAPIDS, SD • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1760451660
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
111 10TH STREET E, DELL RAPIDS, SD, 57022-1208
✓ 9-Digit EDI 837 ZIP+4 (57022-1208)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760451660 (MATT E. HERBER, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1760451660)

Medicare Beneficiaries
87
Total Billed Services
347
Distinct CPT/HCPCS Codes
21
Medicare Allowed Total
$29,556.86

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes33
99238 Hospital discharge day management, 30 minutes or less21
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more72
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes98

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Advair Diskus
Fluticasone Propion/Salmeterol
11<11
Albuterol Sulfate Hfa
Albuterol Sulfate
6739
Alendronate Sodium
Alendronate Sodium
21955
Allopurinol
Allopurinol
21951
Alprazolam
Alprazolam
7013
Amantadine
Amantadine Hcl
12<11
Amiloride Hcl
Amiloride Hcl
17<11
Amiodarone Hcl
Amiodarone Hcl
24<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1760451660 (NPI-1 Individual Practitioner)
Provider / Legal NameMATT E. HERBER, MD
Plain-English SpecialtyBoard-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
NUCC Code: 207Q00000X (Family Medicine)
Certifying / Licensing BodyAmerican Board of Family Medicine (ABFM)
Practice Location Address111 10TH STREET E, DELL RAPIDS, SD, 57022-1208
Practice Telephone / FaxTel: (605) 428-5446
Administrative Mailing Address111 10TH STREET E, DELL RAPIDS, SD, 57022-1208
Enumeration & Last SyncEnumerated: 2006-03-15 | CMS Record Updated: 2010-08-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

111 10TH STREET E, DELL RAPIDS, SD, 57022-1208

🗺️ Open in Google Maps 🏥 More Providers in DELL RAPIDS

Plain-English Taxonomy & CMS Crosswalk (207Q00000X)

What Does Taxonomy Code 207Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MATT E. HERBER, MD)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
  • Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
  • Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
  • Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
  • Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
Common Therapeutic Classes:
  • Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
  • Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
  • Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
  • Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: SD | License: 5054 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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