TONI LORAINE HERO D.O.
NPI 1851387849
Family Medicine in Gresham, OR
About Toni Loraine Hero D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONI LORAINE HERO D.O. (NPI 1851387849) is an individual family medicine provider in Gresham, Oregon, licensed in Oregon (DO18839) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Toni Loraine Hero D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Toni Hero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gresham, OR 97030
- Reassigned Medicare billing, Oregon enrollment
- 3 clinicians in this Medicare group
Shady Cove, OR 97539
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Providence Health & Services Oregon
- 181 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 311 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORAsante Rogue Regional Medical Center
Acute Care Hospitals · Medford, ORProvidence Medford Medical Center
Acute Care Hospitals · Medford, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Toni Hero's NPI number?
The NPI number for Toni Hero is 1851387849. It was assigned to this individual provider in the NPPES registry on September 23, 2005.
Where is Toni Hero located?
Toni Hero practices at 400 NE Roberts Ave, Gresham, OR 97030. The listed phone number is (503) 665-9144.
What is Toni Hero's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Toni Hero enrolled in Medicare?
Yes. Toni Hero 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.
Which organizations bill Medicare for Toni Hero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Toni Hero reassigns Medicare benefits to 3 organizations: Roberts Street Clinic, P.C. (Gresham, OR), Sisters Of Providence In Oregon (Shady Cove, OR) and Providence Health & Services - Oregon (Medford, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toni Hero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Toni Hero accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Toni Hero 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 Toni Hero affiliated with any hospitals?
According to CMS data, Toni Hero is affiliated with Ohsu Hospital And Clinics, Asante Rogue Regional Medical Center and Providence Medford Medical Center.
When was this NPI record last updated?
The NPPES record for Toni Hero was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Toni Loraine Hero, D.O. · NPI 1851387849
Family Medicine physician in Gresham, Oregon. Individual provider, active in the CMS NPPES registry since September 23, 2005.
## Identity
- **NPI:** 1851387849 (Entity type: Individual)
- **Enumerated:** September 23, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO18839 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 NE ROBERTS AVE, Gresham, OR 97030-7464
- **Phone:** (503) 665-9144 · **Fax:** (503) 665-6404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Roberts Street Clinic, P.C. (NPI 1003024423, Gresham, OR); Sisters Of Providence In Oregon (NPI 1881770808, Shady Cove, OR); Providence Health & Services - Oregon (NPI 1093976243, Medford, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** October 10, 2007
- **Other identifiers:** Medicare UPIN G23129 (OR); Medicare ID-Type Unspecified 118823 (OR); Medicaid 079546 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1851387849) · Data from the CMS NPPES public registry.