TONI LORAINE HERO (D.O.) – Family Medicine Physician, NPI 1851387849
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
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Provider Addresses for TONI LORAINE HERO (D.O.)
400, Northeast Roberts Avenue, Central City, Downtown Gresham, Gresham, Multnomah County, Oregon, 97030, United States
GRESHAM, OR 970307464
Phone: (503) 665-9144
Fax: (503) 665-6404
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 29 Open Payments records for all available years, with a total value of $721.
Total Amount is formed as General ($721) + Research ($0) + Ownership ($0) = $721.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($178).
Total Amount
$721
General + Research + Ownership
Payments
29
Total payment records
General Amount
$721
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $178 |
| Hologic Sales and Service, LLC | $116 |
| Amgen Inc. | $106 |
| Otsuka America Pharmaceutical, Inc. | $83 |
| ABBVIE INC. | $82 |
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: 2004-06-08
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 |
|---|---|---|---|---|
| I20040608000180 | I | Family Practice | OR | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 97 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 95 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 52 | $0 |
| 83036 | Hemoglobin a1c level | 45 | 39 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $0 |
Insurance plans in this area (ZIP 97030)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | OR | |
| Internal Medicine, Critical Care (Intensivists) | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Infectious Disease | NY | |
| Internal Medicine | OR | |
| - | OR |
Reviews
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