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JOHN DANIEL HERLIHY IV M.D.
NPI 1245625151
Internal Medicine - Gastroenterology in Cedar Rapids, IA

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
86.67/100
CMS Quality Rating
701 10TH ST SE, CEDAR RAPIDS, IA 52403(319) 369-4542(319) 369-4543 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2025, Jul 19, 2024, Dec 14, 2021 and 2 more (5 updates tracked since 2021).

About John Daniel Herlihy Iv M.d. NPPES

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

JOHN DANIEL HERLIHY IV M.D. (NPI 1245625151) is an individual gastroenterology provider in Cedar Rapids, Iowa, licensed in Iowa (MD-53981) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of University Of Texas Medical School At San Antonio (2015).

NPPES Registry Identity

NPI1245625151
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOHN DANIEL HERLIHY IVCredential: M.D.
Location Address701 10TH ST SECedar Rapids, IA 52403-1292
Mailing Address701 10th St SeCedar Rapids, IA 52403-1251 · (319) 369-4542 · Fax (319) 369-4543
Phone(319) 369-4542
Fax(319) 369-4543
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateAugust 14, 20255 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1245625151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IA · MD-53981
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
701 10TH ST SE, Cedar Rapids, IA 52403
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

John Daniel Herlihy Iv 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 ID4880962083
PECOS Enrollment IDI20250930001290
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 10

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.
114 services78 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
20 services20 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.
19 services15 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
18 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52403 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

86.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.31
Promoting Interoperability95
Improvement Activities40
Cost73.78

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.

MERCY PHYSICIAN ASSOCIATES, INC
Psychiatry & Neurology (Psychiatry)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 369-4798
KORI R ASSMAN NOLTING
Speech-Language Pathologist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6104
OWEN M MCCARRON MD
Obstetrics & Gynecology
701 10TH ST SE, J EDWARD LUNDY PAVILION 4TH FLOOR
CEDAR RAPIDS, IA 52403
Linn County (319) 221-8400
ERIN BURNS MSN, ARNP, NNP-BC
Nurse Practitioner (Neonatal)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6011
WILLIAM JAMES HALLS PHARMD
Pharmacist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6060
JENNIFER BRADLEY ARNP
Nurse Practitioner (Psychiatric/Mental Health)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 369-4777
MR. DAVID NEIRA PT
Physical Therapist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6020
LINDSEY STANLEY
Nurse Practitioner (Pediatrics)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-6011

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 Herlihy's NPI number?

The NPI number for John Herlihy is 1245625151. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is John Herlihy located?

John Herlihy practices at 701 10th St SE, Cedar Rapids, IA 52403. The listed phone number is (319) 369-4542.

What is John Herlihy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Herlihy enrolled in Medicare?

Yes. John Herlihy 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 Herlihy accept?

Health plans from Medica list John 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 John Herlihy affiliated with any hospitals?

According to CMS data, John Herlihy is affiliated with Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for John Herlihy was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.