Dr. Michael A Herbenick , MD
Orthopaedic Surgery โข Centerville, OH
2400 Miami Valley Dr Ste 160
Centerville, OH 454594774
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Michael Herbenick is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on July 6, 2006; this date does not establish years in practice.
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Published CMS data list 1,182 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 73030 โ X-ray of shoulder, minimum of 2 views: 280 service units.
- J0702 โ Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg: 258 service units.
- 99213 โ Established patient outpatient office visit: 145 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 167 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tramadol Hcl โ 43 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 39 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 38 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 6 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: 964. Middle half: 380 to 2,335.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 517 in 2020 to 1,182 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
2400 Miami Valley Dr Ste 160
Centerville, OH 454594774
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 6 distinct additional practice-address records in Dayton, OH; Englewood, OH; Lebanon, OH and 3 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Premier Health Specialists Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Wright State University Boonshoft School Of Medicine
2000
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
287 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $141,890 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $107,178 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
167 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$898 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $16.56 in 2022
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2022.
Years since graduation
26 years (graduated 2000)
CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Herbenick has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Herbenick as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Centerville and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: 964. Middle half: 380 to 2,335.
Too few clinicians listed under Orthopaedic Surgery in Centerville have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: $71,629. Middle half: $29,789 to $144,995.
Too few clinicians listed under Orthopaedic Surgery in Centerville have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: $55,132. Middle half: $22,474 to $108,641.
Too few clinicians listed under Orthopaedic Surgery in Centerville have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: 197. Middle half: 69 to 466.
Too few clinicians listed under Orthopaedic Surgery in Centerville have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: $1,246. Middle half: $362 to $3,336.
Too few clinicians listed under Orthopaedic Surgery in Centerville have Medicare Part D data for 2024 to compare.
7 active clinicians are listed under Orthopaedic Surgery with a practice address in Centerville, OH (923 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 129% from 517 in 2020 to 1,182 in 2024.
- 2020: 517
- 2021: 512
- 2022: 684
- 2023: 785
- 2024: 1,182
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Medicare-allowed amount
Medicare-allowed amount increased 75% from $81,213 in 2020 to $141,890 in 2024.
- 2020: $81,213
- 2021: $91,604
- 2022: $101,107
- 2023: $103,646
- 2024: $141,890
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Paid by Medicare
Paid by Medicare increased 71% from $62,637 in 2020 to $107,178 in 2024.
- 2020: $62,637
- 2021: $71,362
- 2022: $78,836
- 2023: $80,021
- 2024: $107,178
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 280% from 44 in 2020 to 167 in 2024.
- 2020: 44
- 2021: 75
- 2022: 119
- 2023: 104
- 2024: 167
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30-day fills
30-day fills increased 280% from 44 in 2020 to 167 in 2024.
- 2020: 44
- 2021: 75
- 2022: 123
- 2023: 110
- 2024: 167
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Part D drug cost
Part D drug cost went from $581 in 2020 to $898 in 2024.
- 2020: $581
- 2021: $3,769
- 2022: $4,926
- 2023: $3,500
- 2024: $898
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2022 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 โ December 31, 2022): fewer than 11 records totaling $16.56.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stryker Corporation |
Food and Beverage
In-kind items and services
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INSPACE | General | $16.56 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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73030
X-ray of shoulder, minimum of 2 views
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280 | 190 | $124.87 | $33.22 |
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J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
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258 | 85 | $16.87 | $6.76 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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145 | 117 | $134.00 | $84.94 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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124 | 103 | $190.00 | $120.31 |
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20610
Aspiration and/or injection of fluid from large joint
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113 | 81 | $184.73 | $57.23 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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60 | 60 | $250.00 | $155.08 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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41 | 41 | $175.00 | $103.18 |
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23472
Prosthetic repair of shoulder joint, total shoulder
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30 | 29 | $4690.00 | $1320.99 |
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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
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29 | 27 | $100.00 | $49.79 |
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29827
Repair of shoulder rotator cuff using an endoscope
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27 | 27 | $2830.00 | $1013.17 |
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29823
Removal of extensive shoulder joint tissue using an endoscope
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24 | 24 | $2690.00 | $156.31 |
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29828
Release of tendon connecting biceps muscle and shoulder using an endoscope
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18 | 18 | $2294.00 | $450.25 |
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73562
X-ray of knee, 3 views
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18 | 18 | $145.33 | $49.47 |
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29826
Shaving of part of shoulder bone and repair of ligament using an endoscope
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15 | 15 | $2725.00 | $162.13 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tramadol Hcl | Tramadol Hcl | 43 | 297 | $149.65 | 19 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 39 | 273 | $233.22 | 29 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 38 | 264 | $242.62 | 33 |
| Doxycycline Hyclate | Doxycycline Hyclate | 17 | 339 | $165.87 | โ |
| Meloxicam | Meloxicam | 16 | 480 | $28.61 | 13 |
| Methylprednisolone | Methylprednisolone | 14 | 85 | $77.91 | 14 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-06-30NUCC Taxonomy Code: 207X00000X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20061004000425
OH
0143226753
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Family Medicine - Sports Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine - Sports Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2400 MIAMI VALLEY DR STE 160, CENTERVILLE, OH 454594774 (Tel: 9373121661)
Registered at 3170 KETTERING BLVD BLDG B2ND, MORAINE, OH 454391924
NPI status registered as active in NPPES database
Registered at 30 E APPLE ST, SUITE 2200, DAYTON, OH 454092939 (Tel: 9372082091)
Registered at 136S LUDLOW ST 1, DAYTON, OH 454021813 (Tel: 9374998273)
Recorded as MICHAEL HERBENICK, MD
Orthopaedic Surgery (license number reported to NPPES: OH 35082289)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Centerville
Healthcare providers in CentervilleMailing Address
3170 Kettering Blvd Bldg B2nd
Moraine, OH 454391924