DR. JOHN HERGENROTHER M.D.
NPI 1073557500
Internal Medicine - Nephrology in Cincinnati, OH

Q: What is John Hergenrother's NPI number?

The NPI number for John Hergenrother is 1073557500. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is John Hergenrother's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for John Hergenrother was last updated on November 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment

2123 AUBURN AVE, #404, CINCINNATI, OH 45219(513) 241-5630(513) 241-7146 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. John Hergenrother M.d. NPPES

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

DR. JOHN HERGENROTHER M.D. (NPI 1073557500) is an individual nephrology provider in Cincinnati, Ohio, licensed in Ohio (35-07-5061) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and is a graduate of Northeastern Ohio University College Of Medicine (1997).

NPPES Registry Identity

NPI1073557500

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. JOHN HERGENROTHERCredential: M.D.

Location Address2123 AUBURN AVE, #404Cincinnati, OH 45219-2906

Mailing Address2123 Auburn Ave, #404Cincinnati, OH 45219-2906 · (513) 241-5630 · Fax (513) 241-7146

Phone(513) 241-5630

Fax(513) 241-7146

Sole ProprietorYes

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1997

Enumeration DateJune 15, 2006

Last NPPES UpdateNovember 2, 2011

✔ NPI 1073557500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in OH · 35-07-5061✔ Licensed in KY · 37649

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2123 AUBURN AVE, Cincinnati, OH 45219

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Other Identifiers 6

Other390008623OH · Medicare Railroad

Medicare UPINH58417OH

Medicaid64054018KY

Medicaid2330203OH

Medicare PIN4073451OH

Medicare PIN0514422KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. John Hergenrother 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 ID4688638877

PECOS Enrollment IDI20100907000280, I20111215000767

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 12

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.

444 services262 patients

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.

135 services52 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

65 services13 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

44 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

33 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

29 services27 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.

26 services24 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

24 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services20 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

22 services15 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151329

Location321 Mitchell AveBatesville, IN 47006 · Franklin County

Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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

$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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

7 suppliers68 claims5,190 services$0.31 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers24 claims3,240 services$0.19 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

8 suppliers52 claims52 services$17.50 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

8 suppliers51 claims52 services$12.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. KIRANMAYEE LANKA M.D., M.P.H

Internal Medicine (Critical Care Medicine)

2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219

Hamilton County (513) 241-5489

NOEMI CLEOFAS RICO-CEPPI MD

Family Medicine

2123 AUBURN AVE
CINCINNATI, OH 45219

Hamilton County (513) 585-3238

EUGENE CHUNG M.D.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

2123 AUBURN AVE, SU. 137
CINCINNATI, OH 45219

Hamilton County (513) 206-1180

DR. REID ARTHUR HARTMANN M.D.

Family Medicine

2123 AUBURN AVE, SUITE 235
CINCINNATI, OH 45219

Hamilton County (513) 585-3238

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219

Hamilton County (513) 381-5227

JILL GAST APRN.CNP

Nurse Practitioner (Family)

2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219

Hamilton County (513) 241-4223

YOLANDA DANIELA FARHEY M.D.

Internal Medicine (Rheumatology)

2123 AUBURN AVE, STE 630
CINCINNATI, OH 45219

Hamilton County (513) 585-1970

BRIAN REVIS MD

Internal Medicine (Nephrology)

2123 AUBURN AVE, STE 404
CINCINNATI, OH 45219

Hamilton County (513) 241-5630

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 John Hergenrother's NPI number?

The NPI number for John Hergenrother is 1073557500. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is John Hergenrother located?

John Hergenrother practices at 2123 Auburn Ave #404, Cincinnati, OH 45219. The listed phone number is (513) 241-5630.

What is John Hergenrother's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is John Hergenrother enrolled in Medicare?

Yes. John Hergenrother 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 John Hergenrother accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 5 other insurers list John Hergenrother 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 John Hergenrother affiliated with any hospitals?

According to CMS data, John Hergenrother is affiliated with Margaret Mary Community Hospital Inc, St Elizabeth Edgewood, Good Samaritan Hospital, Christ Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for John Hergenrother was last updated on November 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.