MEGAN D HERSHEY (M.D.) – Emergency Medicine Physician, NPI 1215370598

MEGAN D HERSHEY (M.D.) is a healthcare provider. based in Rincon, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 076473 (GA). The NPI Number for MEGAN D HERSHEY (M.D.) is 1215370598

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN D HERSHEY (M.D.)
NPI
1215370598
Phone
(912) 295-2133
Address
5629 HWY 21 S
Enumeration Date
16 April 2013
Last Update Date
21 February 2019

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
7064942100
Graduation Year
2013 (13 years ago)
PAC ID
7012142003
Group Practice PAC ID
6305100850
Professional Enrollment ID
I20160817001101
Address ID
GA319093578CO100XXCTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,514 EMERGENCY MEDICINE in GA

Provider Addresses for MEGAN D HERSHEY (M.D.)

  • 5629 HWY 21 S

    RINCON, GA 313269416

    Phone: (912) 295-2133

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: ABBVIE INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$18
View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160817001101IEmergency MedicineGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making261252$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only238199$0
99284Emergency department visit with moderate level of medical decision making9393$0
99291Critical care, first 30-74 minutes1212$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 31326)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305100850View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineNY
Emergency MedicineTX
Emergency MedicineCA
Nurse PractitionerGA
Emergency MedicineNJ
Emergency MedicineWA
Nurse PractitionerGA
Nurse PractitionerAL
Nurse PractitionerGA
Emergency Medicine, Family PracticeFL

Reviews

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Frequently asked questions

How do I look up MEGAN D HERSHEY (M.D.) by NPI?
Use NPI 1215370598 when you need to reference MEGAN D HERSHEY (M.D.) in forms, claims, or directories.
Is MEGAN D HERSHEY (M.D.)'s NPI currently valid?
The extract we use shows MEGAN D HERSHEY (M.D.) as active.
Does MEGAN D HERSHEY (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for MEGAN D HERSHEY (M.D.). Clinical services aligned with this taxonomy classification.
Does MEGAN D HERSHEY (M.D.) practice in Georgia?
You will see Rincon, Georgia on file for MEGAN D HERSHEY (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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