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EDITH HERGAN M.D.
NPI 1326016726
Internal Medicine - Addiction Medicine in Rocky Hill, CT

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
546 CROMWELL AVE, SUITE 101, ROCKY HILL, CT 06067(847) 477-3809(847) 477-3809 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1326016726
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameEDITH HERGANCredential: M.D.
Location Address546 CROMWELL AVE, SUITE 101Rocky Hill, CT 06067-1800
Mailing Address238 Congdon St EMiddletown, CT 06457-2063 · (860) 996-1569 · Fax (860) 257-7999
Phone(847) 477-3809
Fax(847) 477-3809
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMarch 10, 2006
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1326016726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in CT · 50738
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 036082560 (IL)
546 CROMWELL AVE, Rocky Hill, CT 06067
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Other Identifiers 1

Medicaid036082560IL

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

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.

PECOS PAC ID6305811563
PECOS Enrollment IDI20120810000019
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 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.

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.
68 services18 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
51 services17 patients

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.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

DR. KEVIN FREDERICK STRONG MD
Pediatrics
546 CROMWELL AVE
ROCKY HILL, CT 06067
Capitol Planning Region (860) 529-6124
MRS. JENNIFER LINDWALL SCHWAB MD
Pediatrics
546 CROMWELL AVE
ROCKY HILL, CT 06067
Capitol Planning Region (860) 721-7561
ROBERT DARIUSZ BOGACKI MD
Internal Medicine
546 CROMWELL AVE, SUITE 201
ROCKY HILL, CT 06067
Capitol Planning Region (860) 257-9600
DR. KATHRYN E LITWIN MD
Pediatrics
546 CROMWELL AVE
ROCKY HILL, CT 06067
Capitol Planning Region (860) 721-7561
ELIZABETH C WINKLER APRN
Nurse Practitioner (Obstetrics & Gynecology)
546 CROMWELL AVE
ROCKY HILL, CT 06067
Capitol Planning Region (860) 529-7501
ROCKY HILL PEDIATRICS, LLC
Pediatrics
546 CROMWELL AVE
ROCKY HILL, CT 06067
Capitol Planning Region (860) 721-7561
CONNECTICUT ADDICTION MEDICINE, LLC
Psychiatry & Neurology (Addiction Psychiatry)
546 CROMWELL AVE, SUITE 101
ROCKY HILL, CT 06067
Capitol Planning Region (860) 757-3874
DR. JAY B BENSON M.D.
Internal Medicine (Addiction Medicine)
546 CROMWELL AVE, SUITE 101
ROCKY HILL, CT 06067
Capitol Planning Region (860) 757-3874

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.

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 15 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.