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THOMAS HERRON
NPI 1104310226
Orthopaedic Surgery in Cleveland, OH

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
27100 CHARDON RD, CLEVELAND, OH 44143(440) 585-6500 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Herron NPPES

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

THOMAS HERRON (NPI 1104310226) is an individual orthopaedic surgery provider in Cleveland, Ohio, licensed in Ohio (58.030344) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1104310226
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS HERRON
Location Address27100 CHARDON RDCleveland, OH 44143-1116
Mailing Address27100 Chardon RdCleveland, OH 44143-1116
Phone(440) 585-6500
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2018
Enumeration DateJune 21, 2018
✔ NPI 1104310226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in OH · 58.030344
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
27100 CHARDON RD, Cleveland, OH 44143
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Accepted Insurance

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

Thomas Herron 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 ID345602876
PECOS Enrollment IDI20240924002394
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 6

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 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.
43 services41 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
39 services17 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
24 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
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.
12 services12 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.
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.

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44143 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
$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.

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.

UNIVERSITY HOSPITAL RICHMOND MEDICAL CENTER
General Acute Care Hospital
27100 CHARDON RD
RICHMOND HEIGHTS, OH 44143
Cuyahoga County (440) 516-8704
JACK JESKEY
Student in an Organized Health Care Education/Training Program
27100 CHARDON RD
RICHMOND HEIGHTS, OH 44143
Cuyahoga County (440) 585-6500
DR. XIN LI M.D.
Specialist
27100 CHARDON RD, UNIVERSITY HOSPITAL RICHMOND MEDICAL CENTER
RICHMOND HEIGHTS, OH 44143
Cuyahoga County (440) 585-6500
MR. ANTHONY IMBROGNO DO
Student in an Organized Health Care Education/Training Program
27100 CHARDON RD
RICHMOND HEIGHTS, OH 44143
Cuyahoga County (440) 516-8706
PATHQUEST M.D., INC.
Pathology (Anatomic Pathology & Clinical Pathology)
27100 CHARDON RD
RICHMOND HTS, OH 44143
Cuyahoga County (440) 585-6417
LARRY E. GLAUDE M.D.
Emergency Medicine
27100 CHARDON RD
RICHMOND HEIGHTS, OH 44143
Cuyahoga County (440) 585-6500
MICHAEL MENOLASINO DO
Internal Medicine
27100 CHARDON RD
RICHMOND HTS, OH 44143
Cuyahoga County (216) 383-0100
BRITTANY FLOYD
Nurse Practitioner
27100 CHARDON RD
RICHMOND HEIGHTS, OH 44143
Cuyahoga County (440) 585-6500

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 Thomas Herron's NPI number?

The NPI number for Thomas Herron is 1104310226. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Thomas Herron located?

Thomas Herron practices at 27100 Chardon Rd, Cleveland, OH 44143. The listed phone number is (440) 585-6500.

What is Thomas Herron's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Herron enrolled in Medicare?

Yes. Thomas Herron 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 Thomas Herron accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas Herron 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 Thomas Herron affiliated with any hospitals?

According to CMS data, Thomas Herron is affiliated with Tampa General Hospital and Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Herron was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.