1. Home
  2. Directory
  3. Pennsylvania
  4. State College
  5. Orthopaedic Surgery
  6. NPI Profile

PAUL K HERICKHOFF M.D.
NPI 1417153768
Orthopaedic Surgery in State College, PA

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
1850 E PARK AVE STE 112, STATE COLLEGE, PA 16803(814) 865-3566(814) 863-7803 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 27, 2017, Jul 18, 2017 (3 updates tracked since 2017).

About Paul K Herickhoff M.d. NPPES

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

PAUL K HERICKHOFF M.D. (NPI 1417153768) is an individual orthopaedic surgery provider in State College, Pennsylvania, licensed in Pennsylvania (MD460062) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (2007).

NPPES Registry Identity

NPI1417153768
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL K HERICKHOFFCredential: M.D.
Location Address1850 E PARK AVE STE 112State College, PA 16803-6706
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Phone(814) 865-3566
Fax(814) 863-7803
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2007
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1417153768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD460062
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.
1850 E PARK AVE STE 112, State College, PA 16803
Open in Google Maps ↗

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

Paul K Herickhoff 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 ID3072813823
PECOS Enrollment IDI20170824002516
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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
84 services21 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.
83 services66 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.
49 services41 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
35 services31 patients
X-ray of hip, 1 view 73501
An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.
24 services23 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE L WALKER PA-C
Physician Assistant
1850 E PARK AVE STE 112
STATE COLLEGE, PA 16803
Centre County (800) 243-1455
MADISON KURTZ PA-C
Physician Assistant
1850 E PARK AVE STE 112
STATE COLLEGE, PA 16803
Centre County (814) 865-3566
DR. MANUEL CORONA PT, DPT, LAT, ATC
Physical Therapist
1850 E PARK AVE STE 112
STATE COLLEGE, PA 16803
Centre County (814) 865-3566
DR. CHRISTINA LOUISE ROWE-BAUER DPM
Podiatrist
1850 E PARK AVE STE 112
STATE COLLEGE, PA 16803
Centre County (814) 865-3566

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 Paul Herickhoff's NPI number?

The NPI number for Paul Herickhoff is 1417153768. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Paul Herickhoff located?

Paul Herickhoff practices at 1850 E Park Ave Ste 112, State College, PA 16803. The listed phone number is (814) 865-3566.

What is Paul Herickhoff's specialty?

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

Is Paul Herickhoff enrolled in Medicare?

Yes. Paul Herickhoff 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.

Is Paul Herickhoff affiliated with any hospitals?

According to CMS data, Paul Herickhoff is affiliated with Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Herickhoff was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.