EDITH HERGAN (M.D.) – Addiction Medicine (Internal Medicine) Physician, NPI 1326016726
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 ANESTHESIOLOGY in CT
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Provider Addresses for EDITH HERGAN (M.D.)
238 CONGDON ST E
MIDDLETOWN, CT 064572063
Phone: (860) 996-1569
Fax: (860) 257-7999
Type: Mailing
546, Cromwell Avenue, Rocky Hill, Hartford County, Connecticut, 06067, United States
SUITE 101
ROCKY HILL, CT 060671800
Phone: (847) 477-3809
Fax: (847) 477-3809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $288.
Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($133).
Total Amount
$288
General + Research + Ownership
Payments
14
Total payment records
General Amount
$288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $133 |
| Braeburn Inc. | $80 |
| Alkermes, Inc. | $41 |
| Orexo US, Inc. | $34 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120810000019 | I | Anesthesiology | CT | TBD |
| I20250612003722 | I | Addiction Medicine | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 163 | 17 | $0 |
Insurance plans in this area (ZIP 06457)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CT | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT | |
| Psychiatry, Geriatric Psychiatry | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT |
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