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LORI A HERBST MD
NPI 1174752067
Pediatrics in Cincinnati, OH

Active since July 13, 2009PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3333 BURNET AVE., MLC9016, CINCINNATI, OH 45229(513) 803-8092(513) 803-9245 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2018, Aug 9, 2018, Aug 8, 2017 (3 updates tracked since 2017).

About Lori A Herbst Md NPPES

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

LORI A HERBST MD (NPI 1174752067) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35.123419) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Cincinnati Children's Hospital Medical Center, and is a graduate of Indiana University School Of Medicine (2009).

NPPES Registry Identity

NPI1174752067
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLORI A HERBSTCredential: MD
Location Address3333 BURNET AVE., MLC9016Cincinnati, OH 45229
Mailing Address3333 Burnet Ave., Mlc9016Cincinnati, OH 45229 · (513) 803-8092 · Fax (513) 803-9245
Phone(513) 803-8092
Fax(513) 803-9245
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2009
Enumeration DateJuly 13, 2009
Last NPPES UpdateSeptember 4, 20183 updates tracked since enumeration
✔ NPI 1174752067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.123419
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 35.123419 (OH)
3333 BURNET AVE., Cincinnati, OH 45229
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Other Names 1

Former Name (1)Lori A Clark Md

Other Identifiers 3

Medicaid201233460IN
Medicaid7100305360KY
Medicaid0104080OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare 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

Lori A Herbst Md 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 ID4183848930
PECOS Enrollment IDI20140617001553
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.

Hospital Affiliations CMS Care Compare

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

OwnershipVoluntary non-profit - Private
CMS Certification Number363300
Location3333 Burnet AvenueCincinnati, OH 45229 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

ASHISH RAJINDER KUMAR MD
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE., BMT & IMMUNE DEFICIENCY ML 7015
CINCINNATI, OH 45229
Hamilton County (513) 636-4266
ANGELA M TUCKER CRNA
Nurse Anesthetist, Certified Registered
3333 BURNET AVE., ML 2001
CINCINNATI, OH 45229
Hamilton County (513) 636-4408
ROSEMARY GIBSON CNP
Nurse Practitioner
3333 BURNET AVE., ML 2005
CINCINNATI, OH 45229
Hamilton County (513) 636-4259
JOANNE C. CAREY PSY.D.
Psychologist (Forensic)
3333 BURNET AVE., ML 3015
CINCINNATI, OH 45229
Hamilton County (513) 636-4336
SHANNON R. MYATT RN, CNP
Nurse Practitioner
3333 BURNET AVE., ML 4000
CINCINNATI, OH 45229
Hamilton County (513) 636-4681
WENYING ZHANG
Pathology (Clinical Laboratory Director, Non-physician)
3333 BURNET AVE.
CINCINNATI, OH 45229
Hamilton County (513) 803-7886
LESLEE M PFAFF CRNA
Nurse Anesthetist, Certified Registered
3333 BURNET AVE., ML 2001
CINCINNATI, OH 45229
Hamilton County (513) 636-4408
MICHAEL R. EVERHART CRNA
Nurse Anesthetist, Certified Registered
3333 BURNET AVE., ML 2001
CINCINNATI, OH 45229
Hamilton County (513) 636-4408

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 Lori Herbst's NPI number?

The NPI number for Lori Herbst is 1174752067. It was assigned to this individual provider in the NPPES registry on July 13, 2009. The provider is also known as Lori A Clark MD.

Where is Lori Herbst located?

Lori Herbst practices at 3333 Burnet Ave. Mlc9016, Cincinnati, OH 45229. The listed phone number is (513) 803-8092.

What is Lori Herbst's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lori Herbst enrolled in Medicare?

Yes. Lori Herbst 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 Lori Herbst accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Lori Herbst 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 Lori Herbst affiliated with any hospitals?

According to CMS data, Lori Herbst is affiliated with Cincinnati Children's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Lori Herbst was last updated on September 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.