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ARIANA NICHELLE HERBERT M.D.
NPI 1013337526
Family Medicine in Springboro, OH

Active since April 23, 2014PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
630 N MAIN ST, SPRINGBORO, OH 45066(937) 748-4211(937) 748-3566 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2019, Mar 17, 2018, Jan 8, 2018 and 1 more (4 updates tracked since 2017).

About Ariana Nichelle Herbert M.d. NPPES

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

ARIANA NICHELLE HERBERT M.D. (NPI 1013337526) is an individual family medicine provider in Springboro, Ohio, licensed in Ohio (35.131991) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013337526
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameARIANA NICHELLE HERBERTCredential: M.D.
Location Address630 N MAIN STSpringboro, OH 45066-7519
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Phone(937) 748-4211
Fax(937) 748-3566
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2014
Enumeration DateApril 23, 2014
Last NPPES UpdateMarch 22, 20194 updates tracked since enumeration
✔ NPI 1013337526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.131991
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
630 N MAIN ST, Springboro, OH 45066
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12345 Philadelphia DrDayton, OH 45406-1816 · Phone (937) 734-4141 · Fax (937) 277-7249
Location 28401 Claude Thomas Rd Ste 21DFranklin, OH 45005-1476 · Phone (937) 743-5965 · Fax (937) 743-5975

Other Identifiers 1

Medicaid0236067OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Ariana Nichelle Herbert M.d. 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 ID9335361732
PECOS Enrollment IDI20170913002598
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
163 services81 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
62 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
58 services58 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
32 services32 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45066 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%67 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
57%82 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%101 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
56%52 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers24 claims55 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims17 services$1.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

SPRINGBORO FAMILY MEDICINE
Clinic/Center (Primary Care)
630 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-4211
HEALTH SPECIALISTS OF DAYTON INC
Obstetrics & Gynecology
630 N MAIN ST, STE 200
SPRINGBORO, OH 45066
Warren County (937) 748-8516
MELISSA BENHAM NP
Nurse Practitioner (Family)
630 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-4211
HEALTH SPECIALISTS OF DAYTON INC
Obstetrics & Gynecology
630 N MAIN ST, STE 200A
SPRINGBORO, OH 45066
Warren County (937) 748-8516
MRS. MARY LOU KATHLEEN O'BRIEN FNP
Nurse Practitioner (Family)
630 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-4211
PREMIER HEALTH SPECIALISTS INC
Obstetrics & Gynecology
630 N MAIN ST, SUITE 200
SPRINGBORO, OH 45066
Warren County (937) 748-8516
VANGUARD IMAGING PARTNERS LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
630 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-8420
PREMIER HEALTH SPECIALISTS INC
Surgery
630 N MAIN ST, STE 200A
SPRINGBORO, OH 45066
Warren County (937) 748-8516

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 Ariana Herbert's NPI number?

The NPI number for Ariana Herbert is 1013337526. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Ariana Herbert located?

Ariana Herbert practices at 630 N Main St, Springboro, OH 45066. The listed phone number is (937) 748-4211.

What is Ariana Herbert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ariana Herbert enrolled in Medicare?

Yes. Ariana Herbert 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 Ariana Herbert accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Ariana Herbert 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 Ariana Herbert affiliated with any hospitals?

According to CMS data, Ariana Herbert is affiliated with Miami Valley Hospital and Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Ariana Herbert was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.