DR. JAY S. HERBST (M.D.) – Dermatology Physician, NPI 1710047097

DR. JAY S. HERBST (M.D.) is a healthcare provider. based in Port charlotte, Florida. specializing in DERMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME0046734 (FL). The NPI Number for DR. JAY S. HERBST (M.D.) is 1710047097

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAY S. HERBST (M.D.)
NPI
1710047097
Phone
(941) 764-1055
Address
2866 TAMIAMI TRL STE A
Enumeration Date
9 December 2006
Last Update Date
19 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
8628244142
Group Practice PAC ID
2961678487
Professional Enrollment ID
I20120105000469
Address ID
FL339525165PO2866XTRLX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for DR. JAY S. HERBST (M.D.)

  • 2866 TAMIAMI TRL STE A

    PORT CHARLOTTE, FL 339525165

    Phone: (941) 764-1055

    Fax: (941) 764-7984

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $724.

Total Amount is formed as General ($724) + Research ($0) + Ownership ($0) = $724.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Janssen Biotech, Inc. ($131).

Total Amount

$724

General + Research + Ownership

Payments

30

Total payment records

General Amount

$724

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120105000469IDermatologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg4,90034$0
17003Destruction of precancer skin growth, 2-14 growths2,394327$0
99213Established patient office or other outpatient visit, 20-29 minutes1,129618$0
17000Destruction of precancer skin growth, 1 growth551378$0
17110Destruction of skin growth, 1-14 growths417327$0
View full utilization report →

Insurance plans in this area (ZIP 33952)

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Provider's Procedures

DR. JAY S. HERBST (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips2019
DERMATOLOGYFL17003Destruction of 2-14 skin growths3957529

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961678487View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the standard ID for DR. JAY S. HERBST (M.D.) in the U.S.?
In the U.S., DR. JAY S. HERBST (M.D.) is identified by NPI 1710047097.
Is DR. JAY S. HERBST (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JAY S. HERBST (M.D.) as active.
What services align with DR. JAY S. HERBST (M.D.)'s listing?
DR. JAY S. HERBST (M.D.)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. JAY S. HERBST (M.D.) tied to Port Charlotte, Florida?
If you are local to Port Charlotte, Florida, DR. JAY S. HERBST (M.D.) may be relevant to your search.
Can I export DR. JAY S. HERBST (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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