DR. JOHN HERGENROTHER (M.D.) – Nephrology Physician, NPI 1073557500
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
547 NEPHROLOGY in OH
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Provider Addresses for DR. JOHN HERGENROTHER (M.D.)
2123, Auburn Avenue, Mount Auburn Historic District, Mount Auburn, Cincinnati, Hamilton County, Ohio, 45219, United States
#404
CINCINNATI, OH 452192906
Phone: (513) 241-5630
Fax: (513) 241-7146
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 4 Open Payments records for all available years, with a total value of $324.
Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Calliditas Therapeutics US Inc. ($125).
Total Amount
$324
General + Research + Ownership
Payments
4
Total payment records
General Amount
$324
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-12-15
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 |
|---|---|---|---|---|
| I20100907000280 | I | Nephrology | OH | TBD |
| I20111215000767 | I | Nephrology | KY | 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 | 420 | 232 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 350 | 137 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 150 | 67 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 78 | 15 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 52 | 50 | $0 |
Insurance plans in this area (ZIP 45219)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | OH | |
| N E P H R O L O G Y | KY | |
| Internal Medicine, Nephrology | OH | |
| N E P H R O L O G Y | OH | |
| Nephrology, Internal Medicine | MI | |
| N E P H R O L O G Y | OH | |
| - | OH | |
| Nephrology, Internal Medicine | OH | |
| N E P H R O L O G Y | OH | |
| N E P H R O L O G Y | OH |
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