Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Barry S Herst , MD

Ophthalmology • Chicago, IL

Active NPI 1295809259 Individual Practitioner Male Practitioner
Practice location in NPPES

2800 N Sheridan Rd, #103
Chicago, IL 60657

Call 7735258200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2800 N Sheridan Rd
#103

Chicago, IL 60657

Telephone 7735258200
Fax 7735258699
Organization at the Same NPPES Address or Phone
Cardiomedical Assoc, Ltd. Facility NPI 1063476893

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

458 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $69,397 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $47,101 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

1,206 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$70,822 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $240.63 across 5 records.

By nature of payment

  • Food and Beverage: $240.63 across 5 records.

Reporting-company totals (3 largest of 4)

  • Alcon Vision LLC: $175.39 across 2 records.
  • LKC Technologies, Inc.: $23.38 across 1 record.
  • ABBVIE INC.: $22.00 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Herst has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Herst as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Ophthalmology in Chicago, IL (2024, 141 clinicians with data). Median for this group: 981. Middle half: 395 to 2,247.

Fewer Medicare Part B services than 75% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: 1,942. Middle half: 813 to 3,689.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Ophthalmology in Chicago, IL (2024, 141 clinicians with data). Median for this group: $90,638. Middle half: $36,624 to $278,832.

A lower Medicare-allowed amount than 75% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: $217,562. Middle half: $82,211 to $445,105.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Ophthalmology in Chicago, IL (2024, 141 clinicians with data). Median for this group: $64,290. Middle half: $24,574 to $204,829.

A lower Medicare payment amount than 75% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: $156,041. Middle half: $58,651 to $322,257.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Ophthalmology in Chicago, IL (2024, 180 clinicians with data). Median for this group: 387. Middle half: 133 to 1,297.

Fewer Part D prescriptions than 60% of clinicians listed under Ophthalmology in Illinois (2024, 570 clinicians with data). Median for this group: 891. Middle half: 294 to 1,971.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Ophthalmology in Chicago, IL (2024, 180 clinicians with data). Median for this group: $21,351. Middle half: $3,118 to $119,759.

Close to the middle for clinicians listed under Ophthalmology in Illinois (2024, 570 clinicians with data). Median for this group: $71,776. Middle half: $10,407 to $185,387.

309 active clinicians are listed under Ophthalmology with a practice address in Chicago, IL (898 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

1.3% of these 309 clinicians have the CMS telehealth indicator.

53.1% of these 309 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $240.63.

Manufacturer Payment Nature Product Type Amount ($)
Alcon Vision LLC
Food and Beverage
In-kind items and services
Clareon General $148.76
Alcon Vision LLC
Food and Beverage
In-kind items and services
TRYPTYR General $26.63
LKC Technologies, Inc.
Food and Beverage
In-kind items and services
— General $23.38
ABBVIE INC.
Food and Beverage
In-kind items and services
LUMIGAN General $22.00
Tarsus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
XDEMVY General $19.86

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
263 206 $158.50 $95.85
92014 Established patient complete exam of visual system
223 219 $259.48 $128.66
92133 Imaging of optic nerve
60 53 $91.09 $37.06
92134 Imaging of retina
58 49 $93.64 $41.28
92083 Exam of visual field with extended testing
36 30 $138.00 $64.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
20 17 $95.55 $59.63
92012 Established patient problem focused exam of visual system
17 16 $184.65 $91.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $233.95 $118.95
92004 New patient complete exam of visual system
15 15 $312.14 $152.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $235.83 $134.86

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Latanoprost Latanoprost 260 19,259 $5,167.68 90
Brimonidine Tartrate Brimonidine Tartrate 52 3,485 $984.02 19
Timolol Maleate Timolol Maleate 51 3,482 $481.70 19
Dorzolamide Hcl Dorzolamide Hcl 51 3,657 $688.75 20
Restasis Cyclosporine 38 2,280 $45,695.58 18
Lumigan Bimatoprost 27 972 $11,192.80 —
Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat 19 1,320 $480.22 —
Erythromycin Erythromycin Base 15 234 $182.60 —
Cyclosporine Cyclosporine 13 1,110 $5,948.86 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Dme
0342700001
Other Identifier Bc
0001618089

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPHTHALMOLOGY

Medicare Enrollment ID

I20111005000886

Enrollment State Jurisdiction

IL

PECOS Control ID

7810081171

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1306910542

Doctor of Medicine (M.D.)

NPI 1609042902

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated November 20, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1295809259
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Other Ophthalmology Specialists in Chicago

All Ophthalmology Specialists in Chicago

Mailing Address

2800 N Sheridan Rd, #103

Chicago, IL 60657

Phone: 7735258200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.