EDITH HERGAN M.D.
NPI 1326016726
Internal Medicine - Addiction Medicine in Rocky Hill, CT
About Edith Hergan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDITH HERGAN M.D. (NPI 1326016726) is an individual addiction medicine provider in Rocky Hill, Connecticut, licensed in Connecticut (50738) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edith Hergan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edith Hergan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rocky Hill, CT 06067
- Reassigned Medicare billing, Connecticut enrollment
- 9 clinicians in this Medicare group
Madison, CT 06443
- Reassigned Medicare billing, Connecticut enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKY HILL, CT 06067
ROCKY HILL, CT 06067
ROCKY HILL, CT 06067
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 Edith Hergan's NPI number?
The NPI number for Edith Hergan is 1326016726. It was assigned to this individual provider in the NPPES registry on March 10, 2006.
Where is Edith Hergan located?
Edith Hergan practices at 546 Cromwell Ave Suite 101, Rocky Hill, CT 06067. The listed phone number is (847) 477-3809.
What is Edith Hergan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.
Is Edith Hergan enrolled in Medicare?
Yes. Edith Hergan 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.
Which organizations bill Medicare for Edith Hergan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edith Hergan reassigns Medicare benefits to 2 organizations: Central Connecticut Behavioral Health LLC (Rocky Hill, CT) and Waterstone Counseling Center, LLC (Madison, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edith Hergan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edith Hergan accept?
Health plans from Anthem Blue Cross and Blue Shield list Edith Hergan 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.
When was this NPI record last updated?
The NPPES record for Edith Hergan was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Edith Hergan, M.D. · NPI 1326016726
Addiction Medicine physician in Rocky Hill, Connecticut. Individual provider, active in the CMS NPPES registry since March 10, 2006.
## Identity
- **NPI:** 1326016726 (Entity type: Individual)
- **Enumerated:** March 10, 2006
- **Primary specialty:** Internal Medicine - Addiction Medicine · taxonomy 207RA0401X
- **State license:** 50738 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 546 CROMWELL AVE, SUITE 101, Rocky Hill, CT 06067-1800
- **Phone:** (847) 477-3809 · **Fax:** (847) 477-3809
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Central Connecticut Behavioral Health LLC (NPI 1043666480, Rocky Hill, CT); Waterstone Counseling Center, LLC (NPI 1851767933, Madison, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** April 18, 2025
- **Other identifiers:** Medicaid 036082560 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1326016726) · Data from the CMS NPPES public registry.