DR. JOHN PAUL DETHERAGE III MD
NPI 1447833504
Emergency Medicine in Montgomery, OH

Q: What is John Detherage's NPI number?

The NPI number for John Detherage is 1447833504. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Q: What is John Detherage's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Detherage was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 05, 2021PECOS EnrolledAccepts Medicare Assignment

10506 MONTGOMERY RD STE 209, MONTGOMERY, OH 45242(513) 865-9040 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2025, Jun 30, 2025, Nov 15, 2023 and 1 more (4 updates tracked since 2021).

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About Dr. John Paul Detherage Iii Md NPPES

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

DR. JOHN PAUL DETHERAGE III MD (NPI 1447833504) is an individual emergency medicine provider in Montgomery, Ohio, licensed in Ohio (35150486) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2021).

NPPES Registry Identity

NPI1447833504

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JOHN PAUL DETHERAGE IIICredential: MD

Location Address10506 MONTGOMERY RD STE 209Montgomery, OH 45242-4400

Mailing Address10506 Montgomery Rd Ste 209Montgomery, OH 45242-4400

Phone(513) 865-9040

Sole ProprietorYes

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2021

Enumeration DateMay 5, 2021

Last NPPES UpdateNovember 3, 20254 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1447833504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in OH · 35150486✔ Licensed in KY · 59124✔ Licensed in IN · 01098271A

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.

Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X · License 01098271A (IN), 35150486 (OH), 59124 (KY)

10506 MONTGOMERY RD STE 209, Montgomery, OH 45242

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Accepted Insurance

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

Dr. John Paul Detherage Iii Md 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 ID1355792763

PECOS Enrollment IDI20240828003117, I20251113002322, I20260107002994

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

34 services34 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360046

Location110 North Poplar StreetOxford, OH 45056 · Butler County

Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 8

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

NATALIE CLAIRE DENTON PA-C

Physician Assistant

10506 MONTGOMERY RD STE 209
MONTGOMERY, OH 45242

Hamilton County (800) 225-0953

ALLISON CLARE MENCHHOFER PA-C

Physician Assistant

10506 MONTGOMERY RD STE 209
CINCINNATI, OH 45242

Hamilton County (513) 865-9040

ZACHARY DAVID HEPPNER MD

Emergency Medicine

10506 MONTGOMERY RD STE 209
MONTGOMERY, OH 45242

Hamilton County (513) 865-9040

AMANDA DONAHUE

Physician Assistant

10506 MONTGOMERY RD STE 209
MONTGOMERY, OH 45242

Hamilton County (800) 225-0953

DR. JACLYN HARRINGTON JANSEN MD

Emergency Medicine

10506 MONTGOMERY RD STE 209
MONTGOMERY, OH 45242

Hamilton County (800) 225-0953

SARAH A EDWARDS NP

Nurse Practitioner

10506 MONTGOMERY RD STE 209
CINCINNATI, OH 45242

Hamilton County (513) 865-9040

ALEXIS BAILEY PA-C

Physician Assistant

10506 MONTGOMERY RD STE 209
CINCINNATI, OH 45242

Hamilton County (513) 865-9040

LAURA ELIZABETH FRANKENFELD MD

Emergency Medicine

10506 MONTGOMERY RD STE 209
MONTGOMERY, OH 45242

Hamilton County (513) 865-9040

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 Detherage's NPI number?

The NPI number for John Detherage is 1447833504. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is John Detherage located?

John Detherage practices at 10506 Montgomery Rd Ste 209, Montgomery, OH 45242. The listed phone number is (513) 865-9040.

What is John Detherage's specialty?

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

Is John Detherage enrolled in Medicare?

Yes. John Detherage 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 Detherage accept?

Health plans from CareSource list John Detherage 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 Detherage affiliated with any hospitals?

According to CMS data, John Detherage is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for John Detherage was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.