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RAY ELWIN HERSHBERGER MD
NPI 1548275050
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Columbus, OH

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
181 TAYLOR AVE, COLUMBUS, OH 43203(614) 293-7677(614) 293-5614 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 17, 2026, Dec 23, 2024 (2 updates tracked since 2024).

About Ray Elwin Hershberger Md NPPES

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

RAY ELWIN HERSHBERGER MD (NPI 1548275050) is an individual advanced heart failure and transplant cardiology provider in Columbus, Ohio, licensed in Ohio (35.099420) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of University Of Nebraska College Of Medicine (1978).

NPPES Registry Identity

NPI1548275050
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameRAY ELWIN HERSHBERGERCredential: MD
Location Address181 TAYLOR AVEColumbus, OH 43203-1779
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7677 · Fax (614) 293-5614
Phone(614) 293-7677
Fax(614) 293-5614
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1978
Enumeration DateJuly 31, 2006
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1548275050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in OH · 35.099420
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35.099420 (OH)
181 TAYLOR AVE, Columbus, OH 43203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Ray Elwin Hershberger 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 ID4981790128
PECOS Enrollment IDI20120730000052
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

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43203 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
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.

AMY ELIZABETH PIETRAGALLO RN, MSN, ACNP-BC
Nurse Practitioner (Acute Care)
181 TAYLOR AVE
COLUMBUS, OH 43203
Franklin County (614) 293-7677
BRANDON BLAKE
Pharmacist
181 TAYLOR AVE
COLUMBUS, OH 43203
Franklin County (614) 257-3170
KAREN ELIZABETH FLEMING RN, APRN-CNS, RN-BC
Registered Nurse (Medical-Surgical)
181 TAYLOR AVE
COLUMBUS, OH 43203
Franklin County (614) 257-3000
MRS. NICOLE LEANN CALHOUN M.A., PCC
Counselor (Professional)
181 TAYLOR AVE
COLUMBUS, OH 43203
Franklin County (614) 257-3760
ASHLEY D CRUM LISW
Social Worker (Clinical)
181 TAYLOR AVE
COLUMBUS, OH 43203
Franklin County (614) 257-3760
KUTAIBA NAZIF DO
Internal Medicine (Cardiovascular Disease)
181 TAYLOR AVE
COLUMBUS, OH 43203
Franklin County (614) 293-7677
DR. EMILY BOWEN KAUFFMAN DO
Emergency Medicine
181 TAYLOR AVE
COLUMBUS, OH 43203
Franklin County (614) 257-3414
NATALIE ANN KLAG MD
Psychiatry & Neurology (Psychiatry)
181 TAYLOR AVE
COLUMBUS, OH 43203
Franklin County (614) 293-9600

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 Ray Hershberger's NPI number?

The NPI number for Ray Hershberger is 1548275050. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Ray Hershberger located?

Ray Hershberger practices at 181 Taylor Ave, Columbus, OH 43203. The listed phone number is (614) 293-7677.

What is Ray Hershberger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Ray Hershberger enrolled in Medicare?

Yes. Ray Hershberger 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 Ray Hershberger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Ray Hershberger 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 Ray Hershberger affiliated with any hospitals?

According to CMS data, Ray Hershberger is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Ray Hershberger was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.