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Active NPI 1447833504 Individual Practitioner Male Practitioner

Dr. John Paul Detherage , MD

Emergency Medicine • Montgomery, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Detherage, MD is a certified Emergency Medicine practicing in Montgomery, OH. With approximately 5 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2021, Dr. Detherage delivers high-quality medical care to the local community at 10506 MONTGOMERY RD STE 209.

Dr. Detherage maintains professional affiliations with Orthocincy Orthopaedics And Sports Medicine Psc, University Of Cincinnati Physicians Company Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10506 Montgomery Rd Ste 209

Montgomery, OH 452424400

Telephone 5138659040
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Montgomery, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -1.0 yrs vs City Avg
City Avg: 6.0 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Montgomery, OH (3084 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Detherage (5 Years) 5 Yrs
Montgomery Specialty Average (6.0 Years) 6.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
34 34 $981.06 $167.58
99284 Emergency department visit with moderate level of medical decision making
15 15 $469.00 $116.02
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
13 13 $24.00 $7.69

Medical Specialties & State Licenses

CMS Verified: 2025-11-03
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 35150486

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License KY 59124

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine - Sports Medicine

NUCC Taxonomy Code: 207PS0010X

State License IN 01098271A

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Emergency Medicine - Sports Medicine

NUCC Taxonomy Code: 207PS0010X

State License OH 35150486

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License IN 01098271A

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine - Sports Medicine

NUCC Taxonomy Code: 207PS0010X

State License KY 59124

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Hospital & Practice Group Affiliations

University Of Cincinnati Physicians Company Llc

3188 Bellevue Ave, Cincinnati, OH 452192369

Phone: 5135841000

Orthocincy Orthopaedics And Sports Medicine Psc

1600 Flossie Dr, Greendale, IN 470258424

Phone: 8593012663

Orthocincy Orthopaedics And Sports Medicine Psc

7910 Beechmont Ave, Cincinnati, OH 452554210

Phone: 5132322663

Orthocincy Orthopaedics And Sports Medicine Psc

560 S Loop Rd, Edgewood, KY 410173405

Phone: 8593012663

Secondary Practice Locations

7910 Beechmont Ave

Cincinnati, OH 452554210

Phone: 5132322663

Practice Associates & Co-Workers

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

8 Associated Practitioners
Sandy Drake , PA

Physician Assistant

NPI 1073038790

Physician Assistant

Dr. Zachary Holt , MD

Emergency Medicine

NPI 1306166061

Doctor of Medicine (M.D.)

Allison Menchhofer , PA-C

Physician Assistant

NPI 1477054914

Physician Assistant (Certified)

Dr. Zachary Heppner , MD

Emergency Medicine

NPI 1538620448

Doctor of Medicine (M.D.)

Sarah Edwards , NP

Nurse Practitioner

NPI 1851612022

Nurse Practitioner

Alexis Bailey , PA-C

Physician Assistant

NPI 1922641752

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2025

Emergency Medicine (License #59124 in KY)

📍
Updated Practice Location June 30, 2025

Registered at 10506 MONTGOMERY RD STE 209, MONTGOMERY, OH 452424400 (Tel: 5138659040)

📍
Updated Business Mailing Address June 30, 2025

Registered at 10506 MONTGOMERY RD STE 209, MONTGOMERY, OH 452424400

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2025

Emergency Medicine (License #35150486 in OH)

📍
Updated Practice Location May 22, 2024

Registered at 4777 E GALBRAITH RD, CINCINNATI, OH 452362725 (Tel: 5135585281)

📍
Updated Business Mailing Address May 22, 2024

Registered at 3200 BURNET AVE, CINCINNATI, OH 452293019

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2024

Emergency Medicine (License #35150486 in OH)

NPI Profile Active May 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2021

Registered at 320 E NORTH AVE, PITTSBURGH, PA 152124756 (Tel: 4123594905)

📍
Updated Business Mailing Address May 05, 2021

Registered at 320 E NORTH AVE, PITTSBURGH, PA 152124756 (Tel: 4123594905)

👤
Provider Name / Credentials Updated May 05, 2021

Recorded as JOHN DETHERAGE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 05, 2021

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: 1447833504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2021
Last Update: November 03, 2025
Sole Proprietor: Yes

Mailing Address

10506 Montgomery Rd Ste 209

Montgomery, OH 452424400

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.