HEATHER NICOLE BARHORST D.O.
NPI 1003356528
Obstetrics & Gynecology - Obstetrics in Cincinnati, OH

Active since March 02, 2017PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10475 READING RD, CINCINNATI, OH 45241(513) 563-2202 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2021, Mar 2, 2017 (2 updates tracked since 2017).

About Heather Nicole Barhorst D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER NICOLE BARHORST D.O. (NPI 1003356528) is an individual obstetrics provider in Cincinnati, Ohio, licensed in Ohio (34.015409) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1003356528
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameHEATHER NICOLE BARHORSTCredential: D.O.
Location Address10475 READING RDCincinnati, OH 45241-2563
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 246-1964
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 2, 2017
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
NPI 1003356528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in OH · 34.015409
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
10475 READING RD, Cincinnati, OH 45241

Secondary Practice Location 1

Location 12213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-6522 · Fax (419) 251-6849

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heather Nicole Barhorst D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234527425
PECOS Enrollment IDI20211020001350
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
10475 READING RD
CINCINNATI, OH 45241
Obstetrics & Gynecology
10475 READING RD, SUITE 307
CINCINNATI, OH 45241
Podiatrist (Foot & Ankle Surgery)
10475 READING RD, SUITE 308
CINCINNATI, OH 45241
Podiatrist
10475 READING RD, #404
CINCINNATI, OH 45241
Nurse Anesthetist, Certified Registered
10475 READING RD, SUITE 115
CINCINNATI, OH 45241
Family Medicine
10475 READING RD, STE 405
CINCINNATI, OH 45241
Obstetrics & Gynecology
10475 READING RD, SUITE 307
CINCINNATI, OH 45241
Family Medicine
10475 READING RD, SUITE 405
CINCINNATI, OH 45241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Barhorst's NPI number?

The NPI number for Heather Barhorst is 1003356528. It was assigned to this individual provider in the NPPES registry on March 2, 2017.

Where is Heather Barhorst located?

Heather Barhorst practices at 10475 Reading Rd, Cincinnati, OH 45241. The listed phone number is (513) 563-2202.

What is Heather Barhorst's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Heather Barhorst enrolled in Medicare?

Yes. Heather Barhorst is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Barhorst accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Heather Barhorst as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Barhorst affiliated with any hospitals?

According to CMS data, Heather Barhorst is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Heather Barhorst was last updated on October 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.