JOHN CHARLES HERVERT (DO) – Internal Medicine Physician, NPI 1235428921

JOHN CHARLES HERVERT (DO) is a healthcare provider. based in Tulsa, Oklahoma. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. OS18043 (FL). The NPI Number for JOHN CHARLES HERVERT (DO) is 1235428921

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
JOHN CHARLES HERVERT (DO)
NPI
1235428921
Phone
(918) 209-5170
Address
9645 RIVERSIDE PKWY STE C
Enumeration Date
4 April 2011
Last Update Date
26 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867740016
Graduation Year
2010 (16 years ago)
PAC ID
1355585753
Group Practice PAC ID
1456483098
Professional Enrollment ID
I20211116001804
Address ID
FL327207817DE1590XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,476 INTERNAL MEDICINE in OK

Provider Addresses for JOHN CHARLES HERVERT (DO)

  • 9645 RIVERSIDE PKWY STE C

    TULSA, OK 741377427

    Phone: (918) 209-5170

    Fax: (918) 209-5187

    Type: Mailing

  • 1590 S SR 15A STE 100

    DELAND, FL 327207817

    Phone: (386) 774-0016

    Fax: (386) 774-0606

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 199 Open Payments records for all available years, with a total value of $4,458.

Total Amount is formed as General ($4,458) + Research ($0) + Ownership ($0) = $4,458.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,071).

Total Amount

$4,458

General + Research + Ownership

Payments

199

Total payment records

General Amount

$4,458

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-11-16

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
I20211116001804IInternal MedicineFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74137)

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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: 1456483098View full group profile
NameSpecialtyState
Internal Medicine, Sports MedicineFL
Physician AssistantFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerKY

Reviews

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Frequently asked questions

How do payers reference JOHN CHARLES HERVERT (DO)?
For JOHN CHARLES HERVERT (DO), use NPI 1235428921 as the unique 10-digit identifier.
Is JOHN CHARLES HERVERT (DO) still an active registrant?
JOHN CHARLES HERVERT (DO) carries an active NPI according to the public dataset.
What clinical focus is listed for JOHN CHARLES HERVERT (DO)?
At a glance, JOHN CHARLES HERVERT (DO) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is JOHN CHARLES HERVERT (DO) registered?
Use Tulsa, Oklahoma as the headline location for JOHN CHARLES HERVERT (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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