Individual provider Active NPI

Michael A Herbenick, MD

  • Orthopaedic Surgery Physician
  • Centerville, OH
National Provider Identifier
1275565020
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35082289 Issued in OH
Practice address
2400 Miami Valley Dr Ste 160
Centerville, OH 45459-4774
Phone
(937) 312-1661
Fax
(937) 312-1701
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35082289 OH Primary

Addresses

Primary practice location

2400 Miami Valley Dr Ste 160
Centerville, OH 45459-4774

Mailing address

3170 Kettering Blvd BLDG B2ND
Moraine, OH 45439-1924

Other practice location 1

360 W Central Ave
Springboro, OH 45066-1106
Phone (513) 424-7711

Other practice location 2

580 N State Route 741 Ste 300
Lebanon, OH 45036-6806
Phone (937) 312-1661

Other practice location 3

3590 Busenbark Rd Ste 200A
Trenton, OH 45067-9602
Phone (937) 312-1661

Other practice location 4

30 E Apple St
Suite 2200
Dayton, OH 45409-2939
Phone (937) 208-2091

Other practice location 5

580 N State Route 741 Ste 300
Lebanon, OH 45036-6806
Phone (937) 312-1661

Other practice location 6

9000 N Main St Ste 227
Englewood, OH 45415-1184
Phone (937) 832-4773

Other practice location 7

200 Medical Center Dr Ste 375
Middletown, OH 45005-5180
Phone (937) 312-1661

Other identifiers 1

IdentifierTypeStateIssuer
2671078MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061004000425 OH Practitioner - Orthopedic Surgery 0143226753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wright State University Boonshoft School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Berry Women's Center Labor and Delivery
Dayton, OH 45409-2939
Phone (937) 439-4381

2400 Miami Valley Dr
Centerville, OH 45459-4774

30 E Apple St
Dayton, OH 45409-2939

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35082289OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Aug 3, 2015 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 3, 2015 Accepting new patients
Wright State Physicians Inc Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2400 Miami Valley Dr
Ste 160
Centerville, OH 45459
Phone (937) 312-1661

30 E Apple St
Ste 2200
Dayton, OH 45409
Phone (937) 208-2127

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

3170 Kettering Blvd
Bldg B2ND
Moraine, OH 45439

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1275565020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B2ND",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MIAMI VALLEY DR STE 160",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594774",
            "telephone_number": "937-312-1661",
            "fax_number": "937-312-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450661106",
            "country_code": "US",
            "telephone_number": "513-424-7711",
            "fax_number": "937-312-1701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 N State Route 741 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450366806",
            "country_code": "US",
            "telephone_number": "937-312-1661",
            "fax_number": "937-312-1701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3590 Busenbark Rd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "OH",
            "postal_code": "450679602",
            "country_code": "US",
            "telephone_number": "937-312-1661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 E Apple St",
            "address_2": "Suite 2200",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092939",
            "country_code": "US",
            "telephone_number": "937-208-2091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 N State Route 741 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450366806",
            "country_code": "US",
            "telephone_number": "937-312-1661",
            "fax_number": "937-312-1701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste 227",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151184",
            "country_code": "US",
            "telephone_number": "937-832-4773",
            "fax_number": "937-832-2986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Center Dr Ste 375",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055180",
            "country_code": "US",
            "telephone_number": "937-312-1661",
            "fax_number": "937-312-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERBENICK",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35082289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2671078",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.