Active NPI 1740286913 Individual Practitioner Male Practitioner

Dr. John F Herath , MD

Internal Medicine • Onalaska, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Herath, MD is a certified Internal Medicine practicing in Onalaska, WI. With approximately 27 years of clinical experience since graduating from University Of Minnesota Medical School in 1999, Dr. Herath delivers high-quality medical care to the local community at 3111 GUNDERSEN DR.

Dr. Herath maintains professional affiliations with Gundersen Lutheran Medical Center Inc, Gundersen Clinic Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3111 Gundersen Dr

Onalaska, WI 546508447

Telephone 6087827300

Associated Practice Facility / Clinic

🏢 Gundersen Clinic, Ltd. Facility NPI 1730130972

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Onalaska, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +0.8 yrs vs City Avg

City Avg: 26.2 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

13 Specialists

Practicing in Onalaska, WI (2181 Statewide)

Telehealth Adoption Rate

53.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herath (27 Years) 27 Yrs

Onalaska Specialty Average (26.2 Years) 26.2 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	205	158	$46.66	$15.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	142	$266.07	$90.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	118	118	$422.46	$121.10
99213 Established patient office or other outpatient visit, typically 15 minutes	97	83	$142.97	$60.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$418.35	$121.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$32.31	$31.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	196	$244.77	$93.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	155	155	$396.35	$124.66
99213 Established patient office or other outpatient visit, typically 15 minutes	82	78	$142.80	$62.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$46.00	$29.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	205	$223.23	$94.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$380.21	$126.99
99213 Established patient office or other outpatient visit, typically 15 minutes	75	71	$145.03	$62.67
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	35	17	$147.86	$41.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$89.36	$34.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	215	215	$357.00	$128.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	146	$167.79	$95.81
99213 Established patient office or other outpatient visit, typically 15 minutes	170	138	$121.41	$64.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	34	20	$138.00	$42.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$77.77	$34.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$528.00	$163.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$340.00	$113.48
99213 Established patient office or other outpatient visit, typically 15 minutes	152	137	$92.32	$49.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	70	$221.65	$76.62
99442 Telephone medical discussion with physician, 11-20 minutes	24	22	$127.42	$50.02
99441 Telephone medical discussion with physician, 5-10 minutes	24	19	$68.00	$25.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$503.00	$166.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	213	213	$340.00	$113.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	107	$228.94	$76.31
99213 Established patient office or other outpatient visit, typically 15 minutes	93	78	$111.11	$48.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	40	$45.76	$24.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	20	11	$131.00	$42.80
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$233.00	$123.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	153	$117.08	$77.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	223	223	$318.12	$119.30
99213 Established patient office or other outpatient visit, typically 15 minutes	185	156	$53.99	$43.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$283.00	$145.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	153	$104.34	$85.30
99213 Established patient office or other outpatient visit, typically 15 minutes	114	104	$56.26	$49.86

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WI 42729

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

34043800 (WI)

Hospital & Practice Group Affiliations

Gundersen Clinic Ltd

1600 Main St, Onalaska, WI 546502838

Phone: 6087834681

Gundersen Lutheran Medical Center Inc

3111 Gundersen Dr, Onalaska, WI 546508447

Phone: 6087827300

Gundersen Lutheran Medical Center Inc

1910 S Ave, La Crosse, WI 546015467

Phone: 6087827300

Gundersen Clinic Ltd

1111 W Wisconsin St, Sparta, WI 546562233

Phone: 6082696731

Gundersen Clinic Ltd

505 Gopher Dr, Tomah, WI 546604513

Phone: 6083724111

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jessica Thesing , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003090507

Certified Registered Nurse Anesthetist

Dr. Michael Smith , PsyD

Psychologist

NPI 1003167909

Doctor of Psychology (Psy.D.)

Jessica Rasmussen

Surgery

NPI 1003201427

Julie Sonsalla , APNP

Nurse Practitioner - Adult Health

NPI 1003285511

Advanced Practice Nurse Prescriber

Laura Klingbeil

Orthopaedic Surgery

NPI 1003293713

Susan Sorrentino , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1003313610

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 02, 2015

Registered at 3111 GUNDERSEN DR, ONALASKA, WI 546508447 (Tel: 6087827300)

📍

Updated Business Mailing Address June 02, 2015

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

👤

Provider Name / Credentials Updated June 02, 2015

Recorded as JOHN HERATH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2015

Internal Medicine (License #42729 in WI)

🟢

Initial NPI Registration & Enumeration June 22, 2005

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: 1740286913

Entity Type:

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

Enumeration Date: June 22, 2005

Last Update: June 02, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1836 South Ave

La Crosse, WI 546015429

Phone: 6087827300

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.