Individual provider Active NPI

Jonathan Craig Hersch, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Boca Raton, FL
National Provider Identifier
1548223605
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME89296 Issued in FL
Practice address
1601 Clint Moore Rd Ste 125
Boca Raton, FL 33487-5714
Phone
(561) 581-8115
NPI assigned
Apr 10, 2006
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME89296 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd Ste 125
Boca Raton, FL 33487-5714

Mailing address

1601 Clint Moore Rd Ste 125
Boca Raton, FL 33487-5714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041213000795 FL Practitioner - Orthopedic Surgery 0244297190 Reassigns benefits to 2 organizations
I20180208002813 SD Practitioner - Orthopedic Surgery 0244297190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York University School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Riverview Physical Therapy Limited PartnershipGroup PAC ID 2769393586, shared by 2 NPIs, 58 clinicians

Practice addresses (Care Compare)

50 Forest Falls Dr
Yarmouth, ME 04096-6937

9868 S State Rd
7 Suite 225
Boynton Beach, FL 33472-4474
Phone (561) 953-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)25
Upper limb (arm) arthroscopy (minimally invasive joint repair)35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Orthopaedic Surgery Associates PA CurrentSince Apr 17, 2023 Accepting new patients
Orthopaedic Surgery Associates, PA CurrentSince Apr 17, 2023 Accepting new patients
Sanford Health Network CurrentSince Dec 22, 2017 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Aug 23, 2020 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Sep 1, 2012 Accepting new patients
Sanford Health Network CurrentSince Dec 22, 2017 Accepting new patients
Davie Urgent Care LLC Past Accepting new patients
Orthopaedic Associates USA, PA Sports Medicine Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

6893 SW 18th St
Ste F101
Boca Raton, FL 33433
Phone (561) 479-0159

2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9868 S State Road 7
Ste 225
Boynton Beach, FL 33472
Phone (561) 734-5080

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

Interoperability endpoints

  • Direct secure messaging: jhersch@osa.emadirect.md

Organizations & group practices 10

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 6

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1548223605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 125",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 125",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875714",
            "telephone_number": "561-581-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCH",
        "first_name": "JONATHAN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME89296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.