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DR. KRISTINE HERRON MD
NPI 1750440848
Internal Medicine - Nephrology in Olathe, KS

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
1295 E 151ST ST, SUITE 7, OLATHE, KS 66062(913) 381-0622(913) 254-1120 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kristine Herron Md NPPES

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

DR. KRISTINE HERRON MD (NPI 1750440848) is an individual nephrology provider in Olathe, Kansas, licensed in Kansas (22649) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1984).

NPPES Registry Identity

NPI1750440848
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. KRISTINE HERRONCredential: MD
Location Address1295 E 151ST ST, SUITE 7Olathe, KS 66062-3427
Mailing Address2790 Clay Edwards Dr, Suite 410N Kansas City, MO 64116-3276 · (816) 474-9353 · Fax (816) 474-3627
Phone(913) 381-0622
Fax(913) 254-1120
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1984
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 11, 2010
✔ NPI 1750440848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in KS · 22649✔ Licensed in MO · MDR4F10
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1295 E 151ST ST, Olathe, KS 66062
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC51984
Medicaid202661500MO
Medicaid100114260BKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Kristine Herron 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 ID6204874589
PECOS Enrollment IDI20100727000978
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
236 services109 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
207 services76 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
137 services17 patients
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.
116 services100 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
94 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services27 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Miami County Medical Center

Acute Care Hospitals · La Cygne, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number170109
Location1017 E Market St, Ohfm LacygneLa Cygne, KS 66040 · Linn County
Emergency services

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number170176
Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66062 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%954 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%350 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers19 claims4,140 services$0.34 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers17 claims2,040 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers17 claims17 services$18.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers23 claims25 services$12.68 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 4

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

DR. THOMAS LOVINGGOOD DDS MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1295 E 151ST ST, SUITE 1
OLATHE, KS 66062
Johnson County (913) 782-1663
DR. RICHARD A SCHUMACHER DO
Internal Medicine (Nephrology)
1295 E 151ST ST, SUITE 7
OLATHE, KS 66062
Johnson County (913) 381-0622
JILL DORSEY O.D.
Optometrist
1295 E 151ST ST, SUITE 3
OLATHE, KS 66062
Johnson County (913) 782-4983
DR. KIRK A DUNCAN MD
Internal Medicine (Nephrology)
1295 E 151ST ST, SUITE 7
OLATHE, KS 66062
Johnson County (913) 381-0622

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 Kristine Herron's NPI number?

The NPI number for Kristine Herron is 1750440848. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Kristine Herron located?

Kristine Herron practices at 1295 E 151st St Suite 7, Olathe, KS 66062. The listed phone number is (913) 381-0622.

What is Kristine Herron's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kristine Herron enrolled in Medicare?

Yes. Kristine Herron 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 Kristine Herron accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Kristine Herron 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 Kristine Herron affiliated with any hospitals?

According to CMS data, Kristine Herron is affiliated with University Of Kansas Hospital, Olathe Medical Center, Miami County Medical Center and Overland Park Reg Med Ctr.

When was this NPI record last updated?

The NPPES record for Kristine Herron was last updated on August 11, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.