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OLIVER P HERFORT MD
NPI 1497774848
Internal Medicine in Claremont, NH

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
241 ELM STREET, ASSOCIATES IN MEDICINE, CLAREMONT, NH 03743(603) 543-6900(603) 542-9497 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Oliver P Herfort Md NPPES

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

OLIVER P HERFORT MD (NPI 1497774848) is an individual internal medicine provider in Claremont, New Hampshire, licensed in New Hampshire (11828) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1497774848
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOLIVER P HERFORTCredential: MD
Location Address241 ELM STREET, ASSOCIATES IN MEDICINEClaremont, NH 03743
Mailing Address243 Elm StClaremont, NH 03743 · (603) 543-6900 · Fax (603) 542-9497
Phone(603) 543-6900
Fax(603) 542-9497
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 22, 2012
✔ NPI 1497774848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NH · 11828
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
241 ELM STREET, Claremont, NH 03743
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Other Identifiers 7

Medicare ID-Type UnspecifiedRE7255
Other600347Harvard Pilgrim
Other00068461VT · Blue Cross Blue Shield Vt
Other01YP05036NH01NH · Anthem
Medicaid1009816VT
Medicare UPINH87484
Medicaid70001000NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.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

Oliver P Herfort 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 ID6103833678
PECOS Enrollment IDI20060309000071
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 6

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.
294 services186 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.
152 services121 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
110 services110 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
38 services31 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
17 services12 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Valley Regional Hospital

Critical Access Hospitals · Claremont, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301308
Location243 Elm StreetClaremont, NH 03743 · Sullivan County
Emergency services

Mt Ascutney Hospital

Critical Access Hospitals · Windsor, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471302
Location289 County RoadWindsor, VT 05089 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03743 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims44 services$5.08 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers13 claims3,060 services$4.88 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers15 claims15 services$55.74 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$109.87 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers11 claims1,770 services$0.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

VALLEY REGIONAL HOSPITAL, INC.
Internal Medicine
241 ELM STREET
CLAREMONT, NH 03743
Sullivan County (603) 543-6900
THERESA M. MCCAFFERTY LCMHC
Counselor (Mental Health)
241 ELM STREET, TWIN STATE PSYCHOLOGICAL SERVICES
CLAREMONT, NH 03743
Sullivan County (603) 542-1877
JOHN P. HOUDE, M.D. P.C.
Orthopaedic Surgery
241 ELM STREET
CLAREMONT, NH 03743
Sullivan County (603) 542-7666
NANCY S ARNOLD NP
Nurse Practitioner (Family)
241 ELM STREET
CLAREMONT, NH 03743
Sullivan County (603) 542-4568
KATHERINE COOPER NP-C
Nurse Practitioner
241 ELM STREET
CLAREMONT, NH 03743
Sullivan County (603) 543-6900
DR. JAMES P WILTON DPM
Podiatrist (Foot & Ankle Surgery)
241 ELM STREET
CLAREMONT, NH 03743
Sullivan County (603) 542-7666

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 Oliver Herfort's NPI number?

The NPI number for Oliver Herfort is 1497774848. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Oliver Herfort located?

Oliver Herfort practices at 241 Elm Street Associates In Medicine, Claremont, NH 03743. The listed phone number is (603) 543-6900.

What is Oliver Herfort's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Oliver Herfort enrolled in Medicare?

Yes. Oliver Herfort 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 Oliver Herfort accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Oliver Herfort 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 Oliver Herfort affiliated with any hospitals?

According to CMS data, Oliver Herfort is affiliated with Mary Hitchcock Memorial Hospital, New London Hospital, Alice Peck Day Memorial Hospital, Valley Regional Hospital and Mt Ascutney Hospital.

When was this NPI record last updated?

The NPPES record for Oliver Herfort was last updated on February 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.