Physician

Scott Herbert, MD

According to 2025 Medicare claims, Scott Herbert, MD (NPI: 1548340870) practices hematology/oncology in the Santa Fe, NM market, with the plurality of this provider's patient population coming from Santa Fe, NM. This provider's primary affiliated billing organization is NEXUS HEALTH (NPI: 1801516489; TIN: 87-3699084) and primary practice location at 87507-9998.

Herbert's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 469 traditional Medicare patients, billed 123,181 HCPCS/CPT codes, and received $2,900,607 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 1,146 prescription claims across 206 beneficiaries totaling $4,710,478 in drug costs, led by Xtandi (Enzalutamide). 2021 DME data shows 39 claims. Open Payments data shows 210 records totaling $4,355. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $102,267 to $2,900,607. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,078,604 to $4,710,478. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	415	5,079	$102,267
2016	369	1,514	$115,525
2017	370	1,628	$165,444
2018	406	1,674	$164,561
2019	387	1,591	$159,804
2020	319	1,358	$142,636
2021	364	1,368	$156,140
2022	364	1,046	$95,663
2023	386	116,861	$3,198,899
2024	469	123,181	$2,900,607

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	165	820	$1,078,604
2016	169	728	$1,519,795
2017	145	717	$1,950,761
2018	172	771	$1,839,637
2019	189	790	$1,994,814
2020	145	647	$1,737,506
2021	157	724	$2,265,590
2022	191	808	$2,738,047
2023	211	1,020	$3,701,033
2024	206	1,146	$4,710,478

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	45	231	$19,941
2016	29	154	$28,027
2017	N/R	55	$10,574
2018	N/R	11	$207
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	39	$3,220
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
96413	Administration of chemotherapy into vein, 1 hour or less	110	331	$95
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	469	$93
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	150	245	$63
96375	Injection of additional new drug or substance into vein	83	594	$12
96372	Injection of drug or substance under skin or into muscle	87	195	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtandi	Enzalutamide	52	1,560	$726,116
Imbruvica	Ibrutinib	40	1,144	$583,959
Lenalidomide	Lenalidomide	30	840	$438,579
Revlimid	Lenalidomide	13	364	$288,285
Orserdu	Elacestrant Hcl	12	360	$273,729

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	209	$4,185	Novartis Pharmaceuticals Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	1	$171	Merck Sharp & Dohme LLC
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Scott Herbert, MD?

Tedicare shows public-source Medicare data for Scott Herbert, MD (NPI 1548340870), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Scott Herbert, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Scott Herbert, MD?

Scott Herbert, MD is linked to NEXUS HEALTH (billing NPI 1801516489) in the available physician profile data.

Does Scott Herbert, MD have Open Payments data?

Scott Herbert, MD has 210 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.