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Active NPI 1174752067 Individual Practitioner Female Practitioner

Dr. Lori A Herbst , MD

Pediatrics • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lori Herbst, MD is a certified Pediatrics practicing in Cincinnati, OH. With approximately 17 years of clinical experience since graduating from Indiana University School Of Medicine in 2009, Dr. Herbst delivers high-quality medical care to the local community at 3333 BURNET AVE..

Dr. Herbst is affiliated with Children'S Hospital Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3333 Burnet Ave.
Mlc9016

Cincinnati, OH 45229

Telephone 5138038092
Fax 5138039245
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Cincinnati, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +4.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
538 Specialists

Practicing in Cincinnati, OH (3057 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herbst (17 Years) 17 Yrs
Cincinnati Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
36 27 $285.00 $116.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
30 30 $472.00 $169.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
29 20 $189.00 $77.15
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th
21 13 $87.00 $29.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $322.00 $127.15

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35.123419

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine - Hospice and Palliative Medicine

NUCC Taxonomy Code: 207RH0002X

State License OH 35.123419

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0104080 (OH)
Medicaid State Provider ID
7100305360 (KY)
Medicaid State Provider ID
201233460 (IN)

Hospital & Practice Group Affiliations

Children's Hospital Medical Center

3333 Burnet Ave, Cincinnati, OH 452293026

Phone: 5136364200

Practice Associates & Co-Workers

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

40 Associated Practitioners
Carly Noel

Pediatrics

NPI 1043849839
NPI 1053528075

Doctor of Medicine (M.D.)

NPI 1063708337

Doctor of Medicine (M.D.)

NPI 1093247934

Doctor of Medicine (M.D.)

NPI 1104186584

Doctor of Medicine (M.D.)

Randi Mullaney

Nurse Practitioner

NPI 1134550932

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location September 04, 2018

Registered at 3333 BURNET AVE., MLC9016, CINCINNATI, OH 45229 (Tel: 5138038092)

📍
Updated Business Mailing Address September 04, 2018

Registered at 3333 BURNET AVE., MLC9016, CINCINNATI, OH 45229 (Tel: 5138038092)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2018

Internal Medicine (License #35.123419 in OH)

📍
Updated Practice Location August 09, 2018

Registered at 234 GOODMAN ST, HOSPITALIST OPERATIONS ML670, CINCINNATI, OH 45219 (Tel: 5135847545)

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address August 08, 2017

Registered at PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855504)

📍
Updated Practice Location August 08, 2017

Registered at 234 GOODMAN ST, HOSPITALIST OPERATIONS ML670, CINCINNATI, OH 452192364 (Tel: 5135847545)

👤
Provider Name / Credentials Updated August 08, 2017

Recorded as LORI HERBST, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2017

Internal Medicine (License #35-123419 in OH)

NPI Profile Active August 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2014

Registered at 234 GOODMAN ST, HOSPITALIST OPERATIONS ML670, CINCINNATI, OH 452192364 (Tel: 5135847545)

📍
Updated Business Mailing Address August 01, 2014

Registered at 234 GOODMAN ST, HOSPITALIST OPERATIONS ML 670, CINCINNATI, OH 452192364 (Tel: 5135847545)

👤
Provider Name / Credentials Updated August 01, 2014

Recorded as LORI HERBST, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2014

Internal Medicine (License #35-123419 in OH)

🟢
Initial NPI Registration & Enumeration July 13, 2009

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: 1174752067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2009
Last Update: September 04, 2018
Sole Proprietor: No

Mailing Address

3333 Burnet Ave., Mlc9016

Cincinnati, OH 45229

Phone: 5138038092

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.