DR. ROBERT HERFEL M.D.
NPI 1417971300
Emergency Medicine in Fort Thomas, KY

Active since July 26, 2006PECOS Enrolled
92.22/100
CMS Quality Rating
85 N GRAND AVE, FORT THOMAS, KY 41075(859) 572-3618(859) 572-2326 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2021, Jun 24, 2021 (2 updates tracked since 2021).

About Dr. Robert Herfel M.d. NPPES

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

DR. ROBERT HERFEL M.D. (NPI 1417971300) is an individual emergency medicine provider in Fort Thomas, Kentucky, licensed in Kentucky (34144) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417971300
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ROBERT HERFELCredential: M.D.
Location Address85 N GRAND AVEFort Thomas, KY 41075-1793
Mailing AddressPo Box 18667Erlanger, KY 41018-0667 · (859) 572-3617 · Fax (859) 572-2366
Fax(859) 572-2326
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration
NPPES CertifiedJuly 27, 2021
NPI 1417971300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in KY · 34144 Licensed in IN · 01084550A Licensed in IN · 01084525A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
85 N GRAND AVE, Fort Thomas, KY 41075

Other Identifiers 3

Medicaid64009178KY
Medicaid2239572OH
Medicaid201024680IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Robert Herfel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41075 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.64
Improvement Activities40

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.

Emergency Medicine
85 N GRAND AVE
FORT THOMAS, KY 41075
Physician Assistant
85 N GRAND AVE
FORT THOMAS, KY 41075
Pharmacist
85 N GRAND AVE
FORT THOMAS, KY 41075
Physical Therapist
85 N GRAND AVE
FORT THOMAS, KY 41075
Emergency Medicine
85 N GRAND AVE
FORT THOMAS, KY 41075
Family Medicine (Geriatric Medicine)
85 N GRAND AVE
FORT THOMAS, KY 41075
Respiratory Therapist, Certified
85 N GRAND AVE
FORT THOMAS, KY 41075
Family Medicine (Hospice and Palliative Medicine)
85 N GRAND AVE
FORT THOMAS, KY 41075

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 Robert Herfel's NPI number?

The NPI number for Robert Herfel is 1417971300. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Robert Herfel located?

Robert Herfel practices at 85 N Grand Ave, Fort Thomas, KY 41075. The listed phone number is (859) 572-3618.

What is Robert Herfel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Robert Herfel enrolled in Medicare?

Yes. Robert Herfel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Herfel was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.