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JEFFREY HERSHBERGER
NPI 1922470574
Nurse Practitioner - Family in Massillon, OH

Active since October 22, 2015PECOS Enrolled
2300 WALES AVE NW STE 100, MASSILLON, OH 44646(330) 832-3188 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey Hershberger NPPES

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

JEFFREY HERSHBERGER (NPI 1922470574) is an individual family provider in Massillon, Ohio, licensed in Ohio (COA.18245-NP) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922470574
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEFFREY HERSHBERGER
Location Address2300 WALES AVE NW STE 100Massillon, OH 44646-2323
Mailing Address3515 Massillon Rd Ste 300Uniontown, OH 44685-7854 · (330) 899-9350
Phone(330) 832-3188
Sole ProprietorNo
Enumeration DateOctober 22, 2015
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1922470574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA.18245-NP
2300 WALES AVE NW STE 100, Massillon, OH 44646
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Hershberger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Hershberger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pioneer Physicians Network, Inc.
9.9 mi
Family Medicine
3515 MASSILLON RD STE 300
Uniontown, OH 44685
  • Reassigned Medicare billing, Ohio enrollment
  • 93 clinicians in this Medicare group
NPI 1851354633 (330) 899-9350

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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
230 services38 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.
125 services98 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
40 services35 patients
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.
31 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44646 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.

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$22.11 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

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

EUGENE D POGORELEC
Family Medicine
2300 WALES AVE NW STE 100
MASSILLON, OH 44646
Stark County (330) 832-3188

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 Jeffrey Hershberger's NPI number?

The NPI number for Jeffrey Hershberger is 1922470574. It was assigned to this individual provider in the NPPES registry on October 22, 2015.

Where is Jeffrey Hershberger located?

Jeffrey Hershberger practices at 2300 Wales Ave NW Ste 100, Massillon, OH 44646. The listed phone number is (330) 832-3188.

What is Jeffrey Hershberger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeffrey Hershberger enrolled in Medicare?

Yes. Jeffrey Hershberger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Hershberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Hershberger reassigns Medicare benefits to Pioneer Physicians Network, Inc. (Uniontown, OH). The 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 Jeffrey Hershberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Hershberger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 1 other insurer list Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Hershberger was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.