RICHARD E HERLIHY MD
NPI 1023070356
Urology in Oklahoma City, OK

Active since April 03, 2006PECOS EnrolledCLIA 37D0954725 · Microscopy
75/100
CMS Quality Rating
4140 W MEMORIAL RD, SUITE 611, OKLAHOMA CITY, OK 73120(405) 749-4288(405) 749-4287 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard E Herlihy Md NPPES

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

RICHARD E HERLIHY MD (NPI 1023070356) is an individual urology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (12710) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through December 6, 2026, and is affiliated with Mercy Hospital Oklahoma City, Inc.

NPPES Registry Identity

NPI1023070356
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameRICHARD E HERLIHYCredential: MD
Location Address4140 W MEMORIAL RD, SUITE 611Oklahoma City, OK 73120-8366
Mailing Address4140 W Memorial Rd Ste 611Oklahoma City, OK 73120-8300 · (405) 749-4288 · Fax (405) 749-4287
Fax(405) 749-4287
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1979
Enumeration DateApril 3, 2006
Last NPPES UpdateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
NPI 1023070356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in OK · 12710
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4140 W MEMORIAL RD, Oklahoma City, OK 73120

Other Identifiers 2

Other202130641010OK · Bc/bs
Medicaid100088990AOK

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 (PECOS)

Richard E Herlihy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921100769
PECOS Enrollment IDI20070224000116
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D0954725

Richard E Herlihy, MD PC · Oklahoma City, OK
Active · expires Dec 6, 2026
CLIA Number37D0954725
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorRichard E. Herlihy
Laboratory Phone(405) 749-4288
Laboratory LocationRichard E Herlihy, MD PC4140 West Memorial, Suite 611, Oklahoma City, OK 73120
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 23

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,475 services237 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
980 services638 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
493 services392 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
310 services261 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
256 services231 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
124 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Oklahoma Spine Hospital

Acute Care Hospitals · Oklahoma City, OK
OwnershipPhysician
CMS Certification Number370206
Location14101 Parkway Commons DriveOklahoma City, OK 73134 · Oklahoma County
Emergency services

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipPhysician
CMS Certification Number370215
Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370234
Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims2,805 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers45 claims8,820 services$1.68 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 20

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

Specialist
4140 W MEMORIAL RD, SUITE 215
OKLAHOMA CITY, OK 73120
Specialist
4140 W MEMORIAL RD, SUITE 621
OKLAHOMA CITY, OK 73120
Urology
4140 W MEMORIAL RD, SUITE 518
OKLAHOMA CITY, OK 73120
Genetic Counselor, MS
4140 W MEMORIAL RD, SUITE 321
OKLAHOMA CITY, OK 73120
Pediatrics
4140 W MEMORIAL RD, 413
OKLAHOMA CITY, OK 73120
Dentist (Oral and Maxillofacial Surgery)
4140 W MEMORIAL RD, THE PLAZA #201
OKLAHOMA CITY, OK 73120
Psychologist (Clinical)
4140 W MEMORIAL RD, SUITE 221
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
4140 W MEMORIAL RD, SUITE 500
OKLAHOMA CITY, OK 73120

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 Richard Herlihy's NPI number?

The NPI number for Richard Herlihy is 1023070356. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Richard Herlihy located?

Richard Herlihy practices at 4140 W Memorial Rd Suite 611, Oklahoma City, OK 73120. The listed phone number is (405) 749-4288.

What is Richard Herlihy's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Richard Herlihy enrolled in Medicare?

Yes. Richard Herlihy is registered in the Medicare PECOS enrollment system.

Does Richard Herlihy hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D0954725) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Richard Herlihy accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Richard Herlihy 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 Richard Herlihy affiliated with any hospitals?

According to CMS data, Richard Herlihy is affiliated with Mercy Hospital Oklahoma City, Inc, Integris Baptist Medical Center, Inc, Oklahoma Spine Hospital, Oklahoma Heart Hospital, LLC and Oklahoma Heart Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Richard Herlihy was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.