Active NPI 1275565020 Individual Practitioner Male Practitioner

Dr. Michael A Herbenick , MD

Orthopaedic Surgery • Centerville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Herbenick, MD is a certified Orthopaedic Surgery practicing in Centerville, OH. With approximately 26 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2000, Dr. Herbenick delivers high-quality medical care to the local community at 2400 MIAMI VALLEY DR STE 160.

Dr. Herbenick is affiliated with Premier Health Specialists Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of shoulder, minimum of 2 views, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2400 Miami Valley Dr Ste 160

Centerville, OH 454594774

Telephone 9373121661

Fax 9373121701

Associated Practice Facility / Clinic

🏢 Premier Health Specialists Inc Facility NPI 1023556420

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Centerville, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +6.7 yrs vs City Avg

City Avg: 19.3 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Centerville, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herbenick (26 Years) 26 Yrs

Centerville Specialty Average (19.3 Years) 19.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	280	190	$124.87	$33.22
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	258	85	$16.87	$6.76
99213 Established patient office or other outpatient visit, typically 15 minutes	145	117	$134.00	$84.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	103	$190.00	$120.31
20610 Aspiration and/or injection of fluid from large joint	113	81	$184.73	$57.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$250.00	$155.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$175.00	$103.18
23472 Prosthetic repair of shoulder joint, total shoulder	30	29	$4690.00	$1320.99
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	27	$100.00	$49.79
29827 Repair of shoulder rotator cuff using an endoscope	27	27	$2830.00	$1013.17
29823 Removal of extensive shoulder joint tissue using an endoscope	24	24	$2690.00	$156.31
73562 X-ray of knee, 3 views	18	18	$145.33	$49.47
29828 Release of shoulder biceps tendon using an endoscope	18	18	$2294.00	$450.25
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$2725.00	$162.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	220	141	$125.60	$34.44
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	130	53	$16.74	$6.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	95	$190.00	$122.35
99213 Established patient office or other outpatient visit, typically 15 minutes	106	81	$134.00	$87.15
20610 Aspiration and/or injection of fluid from large joint	61	52	$177.95	$60.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$247.00	$159.53
73070 X-ray of elbow, 2 views	26	12	$85.38	$27.00
23472 Prosthetic repair of shoulder joint, total shoulder	25	25	$4690.00	$1421.57
29827 Repair of shoulder rotator cuff using an endoscope	19	18	$2830.00	$1051.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$175.00	$108.50
29823 Removal of extensive shoulder joint tissue using an endoscope	15	14	$2690.00	$122.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	188	123	$126.60	$34.49
99213 Established patient office or other outpatient visit, typically 15 minutes	120	87	$134.00	$86.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	74	$190.00	$122.82
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	12	$6.00	$1.11
20610 Aspiration and/or injection of fluid from large joint	46	37	$170.63	$63.66
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	39	30	$17.00	$6.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$247.00	$163.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$175.00	$109.36
73070 X-ray of elbow, 2 views	21	13	$88.00	$26.56
23472 Prosthetic repair of shoulder joint, total shoulder	21	21	$4690.00	$1441.84
29827 Repair of shoulder rotator cuff using an endoscope	20	20	$2830.00	$1063.38
29828 Release of shoulder biceps tendon using an endoscope	14	14	$2294.00	$481.21
29823 Removal of extensive shoulder joint tissue using an endoscope	14	14	$2690.00	$190.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	142	99	$124.87	$34.34
99213 Established patient office or other outpatient visit, typically 15 minutes	114	82	$110.00	$88.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	59	$160.00	$127.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$175.00	$110.29
20610 Aspiration and/or injection of fluid from large joint	29	24	$172.76	$64.59
23472 Prosthetic repair of shoulder joint, total shoulder	19	18	$4690.00	$1462.57
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	18	15	$17.00	$6.72
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$2830.00	$1077.70
29823 Removal of extensive shoulder joint tissue using an endoscope	16	16	$2690.00	$182.70
29828 Release of shoulder biceps tendon using an endoscope	13	13	$2294.00	$524.41
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$1750.00	$207.22
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$2725.00	$176.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	121	87	$136.70	$36.16
99213 Established patient office or other outpatient visit, typically 15 minutes	110	81	$106.00	$72.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	70	$156.00	$104.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$177.82	$105.83
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	38	30	$17.00	$7.07
20610 Aspiration and/or injection of fluid from large joint	34	31	$186.65	$65.70
29823 Removal of extensive shoulder joint tissue using an endoscope	22	21	$2690.00	$260.18
29827 Repair of shoulder rotator cuff using an endoscope	21	21	$2830.00	$1023.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$65.00	$44.40
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$4690.00	$1486.89
29828 Release of shoulder biceps tendon using an endoscope	13	13	$2294.00	$430.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	135	99	$126.41	$30.28
99213 Established patient office or other outpatient visit, typically 15 minutes	126	88	$106.00	$71.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$154.00	$104.13
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	69	44	$17.00	$6.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	62	$156.00	$103.16
20610 Aspiration and/or injection of fluid from large joint	47	43	$181.21	$60.44
29827 Repair of shoulder rotator cuff using an endoscope	28	27	$2830.00	$1021.49
29823 Removal of extensive shoulder joint tissue using an endoscope	27	26	$2690.00	$160.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$65.00	$43.48
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	21	21	$2725.00	$172.93
23472 Prosthetic repair of shoulder joint, total shoulder	18	18	$4690.00	$1382.16
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$1750.00	$257.08
29828 Release of shoulder biceps tendon using an endoscope	12	12	$2294.00	$517.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	182	123	$122.41	$27.73
99213 Established patient office or other outpatient visit, typically 15 minutes	126	101	$106.00	$69.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$154.00	$102.76
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	87	61	$17.00	$6.96
20610 Aspiration and/or injection of fluid from large joint	72	60	$173.96	$57.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	38	$65.00	$41.92
23472 Prosthetic repair of shoulder joint, total shoulder	25	25	$4690.00	$1424.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$156.00	$98.77
29827 Repair of shoulder rotator cuff using an endoscope	19	19	$2830.00	$1001.92
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$2725.00	$175.97
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$2690.00	$193.63
29828 Release of shoulder biceps tendon using an endoscope	11	11	$2294.00	$518.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	148	51	$17.00	$6.93
99213 Established patient office or other outpatient visit, typically 15 minutes	134	106	$106.00	$69.49
73030 X-ray of shoulder, minimum of 2 views	129	110	$131.18	$29.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$154.00	$103.63
20610 Aspiration and/or injection of fluid from large joint	65	52	$195.26	$63.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	39	$65.00	$41.44
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	26	26	$2725.00	$175.71
29827 Repair of shoulder rotator cuff using an endoscope	26	26	$2830.00	$1019.05
23472 Prosthetic repair of shoulder joint, total shoulder	21	21	$4690.00	$1394.86
29823 Removal of extensive shoulder joint tissue using an endoscope	19	19	$2690.00	$216.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$242.00	$158.00
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$1750.00	$221.23
73562 X-ray of knee, 3 views	12	12	$120.25	$36.88

Medical Specialties & State Licenses

CMS Verified: 2026-06-30

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35082289

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2671078 (OH)

Hospital & Practice Group Affiliations

Premier Health Specialists Inc

1 Wyoming St, Dayton, OH 454092939

Phone: 9374394381

Premier Health Specialists Inc

450 N Hyatt St, Tipp City, OH 453711433

Phone: 9378324773

Premier Health Specialists Inc

2400 Miami Valley Dr, Centerville, OH 454594774

Premier Health Specialists Inc

30 E Apple St, Dayton, OH 454092939

Secondary Practice Locations

360 W Central Ave

Springboro, OH 450661106

Phone: 5134247711

580 N State Route 741 Ste 300

Lebanon, OH 450366806

Phone: 9373121661

3590 Busenbark Rd Ste 200a

Trenton, OH 450679602

Phone: 9373121661

30 E Apple St, Suite 2200

Dayton, OH 454092939

Phone: 9372082091

580 N State Route 741 Ste 300

Lebanon, OH 450366806

Phone: 9373121661

9000 N Main St Ste 227

Englewood, OH 454151184

Phone: 9378324773

200 Medical Center Dr Ste 375

Middletown, OH 450055180

Phone: 9373121661

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Dr. Gregory Barbour , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1093710147

Doctor of Podiatric Medicine

Dr. Michael Barnett , MD

Orthopaedic Surgery

NPI 1104857507

Doctor of Medicine (M.D.)

Dr. Norah Foster , MD

Orthopaedic Surgery

NPI 1205153681

Doctor of Medicine (M.D.)

Jordyn Weaver , AT, AT-C

Specialist/Technologist - Athletic Trainer

NPI 1215593843

AT, Certified Athletic Trainer

Dr. Harvey Rhodes , DO

Family Medicine - Sports Medicine

NPI 1285690594

Doctor of Osteopathic Medicine (D.O.)

Dr. David Ramig , DPM

Podiatrist

NPI 1518980341

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location June 30, 2026

Registered at 2400 MIAMI VALLEY DR STE 160, CENTERVILLE, OH 454594774 (Tel: 9373121661)

📍

Updated Business Mailing Address June 30, 2026

Registered at 3170 KETTERING BLVD BLDG B2ND, MORAINE, OH 454391924

✅

NPI Profile Active March 31, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2016

Registered at 30 E APPLE ST, SUITE 2200, DAYTON, OH 454092939 (Tel: 9372082091)

📍

Updated Business Mailing Address March 31, 2016

Registered at 136S LUDLOW ST 1, DAYTON, OH 454021813 (Tel: 9374998273)

👤

Provider Name / Credentials Updated March 31, 2016

Recorded as MICHAEL HERBENICK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2016

Orthopaedic Surgery (License #35082289 in OH)

🟢

Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275565020

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2006

Last Update: June 30, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3170 Kettering Blvd Bldg B2nd

Moraine, OH 454391924

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.