THOMAS W. HERENDEEN (MD) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1356333272
Otolaryngology/Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
242 OTOLARYNGOLOGY in IN
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Provider Addresses for THOMAS W. HERENDEEN (MD)
10021, Dupont Circle Court, Fort Wayne, Allen County, Indiana, 46825, United States
FORT WAYNE, IN 468251604
Phone: (260) 426-8117
Fax: (260) 420-0817
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 33 Open Payments records for all available years, with a total value of $980.
Total Amount is formed as General ($980) + Research ($0) + Ownership ($0) = $980.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: GENZYME CORPORATION ($254).
Total Amount
$980
General + Research + Ownership
Payments
33
Total payment records
General Amount
$980
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $254 |
| GlaxoSmithKline, LLC. | $188 |
| ABBVIE INC. | $141 |
| Stryker Corporation | $111 |
| Acclarent, Inc | $41 |
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: 2009-12-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091223000218 | I | Otolaryngology | IN | 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 |
|---|---|---|---|---|
| 95024 | Test for allergy using allergenic extract injected into skin | 449 | 13 | $0 |
| 95004 | Test for allergy using allergenic extract | 398 | 13 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 330 | 27 | $0 |
| 95115 | Professional service for single injection of allergen | 115 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 89 | $0 |
Insurance plans in this area (ZIP 46825)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| - | IN | |
| Qualified Audiologist | IN | |
| Qualified Speech Language Pathologist | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| O T O L A R Y N G O L O G Y | FL | |
| Nurse Practitioner | IN |
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