DR. KERI LYNN HERSHBERGER (M.D.) – Family Medicine Physician, NPI 1114210374

DR. KERI LYNN HERSHBERGER (M.D.) is a healthcare provider. based in Pataskala, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD60521862 (WA). The NPI Number for DR. KERI LYNN HERSHBERGER (M.D.) is 1114210374

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. KERI LYNN HERSHBERGER (M.D.)
NPI
1114210374
Phone
(220) 564-1915
Address
ONE HEALTHY PLACE
Enumeration Date
20 May 2011
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2205644270
Graduation Year
2011 (15 years ago)
PAC ID
4880810928
Group Practice PAC ID
6204740731
Professional Enrollment ID
I20160610001489
Address ID
OH430551809NE36XXXDRXX300

Contacts

Secure Messaging
khershberger14354@lickingmemorial.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

4,431 FAMILY PRACTICE in OH

Provider Addresses for DR. KERI LYNN HERSHBERGER (M.D.)

  • ONE HEALTHY PLACE

    SUITE 102

    PATASKALA, OH 43062

    Phone: (220) 564-1915

    Fax: (220) 564-1916

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-06-10

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
I20160610001489IFamily PracticeOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12489$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5858$0
G0008Administration of influenza virus vaccine3232$0
90662Influenza vaccine split virus, preservative free2525$0
99213Established patient office or other outpatient visit, 20-29 minutes2216$0
View full utilization report →

Insurance plans in this area (ZIP 43062)

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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: 6204740731View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Nurse PractitionerOH
U R O L O G YOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
Emergency MedicineOH
Certified Nurse Midwife (Cnm)OH
Pain ManagementOH

Reviews

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Frequently asked questions

What is DR. KERI LYNN HERSHBERGER (M.D.)'s NPI number?
DR. KERI LYNN HERSHBERGER (M.D.)'s NPI is 1114210374 — the number used across U.S. healthcare to identify this provider.
Is DR. KERI LYNN HERSHBERGER (M.D.) still an active registrant?
DR. KERI LYNN HERSHBERGER (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. KERI LYNN HERSHBERGER (M.D.)'s focus?
For DR. KERI LYNN HERSHBERGER (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KERI LYNN HERSHBERGER (M.D.)?
Travel planning: use Pataskala, Ohio as the reference point for DR. KERI LYNN HERSHBERGER (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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