Individual provider Active NPI

Fred Luke Herscher, DO

  • Family Medicine Physician
  • Sutherlin, OR
National Provider Identifier
1619974235
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13700 Issued in OR
Practice address
781 W Central Ave
Sutherlin, OR 97479-9472
Phone
(541) 459-0303
Fax
(541) 459-1657
NPI assigned
Jun 29, 2005
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13700 OR Primary

Addresses

Primary practice location

781 W Central Ave
Sutherlin, OR 97479-9472

Mailing address

781 W Central Ave
Sutherlin, OR 97479-9472
Phone (541) 459-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20120322000621 OR Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - General Practice 7719971209 Reassigns benefits to 1 organization
Practice locations: Sutherlin, OR

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Osteopathic Manipulative Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jorgensen Family Medicine PCGroup PAC ID 4981069192, 2 clinicians

Practice addresses (Care Compare)

1813 W Harvard Ave
Suite 140
Roseburg, OR 97471-2743
Phone (541) 677-6553

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13700ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorgensen Family Medicine PC Family Medicine CurrentSince Nov 25, 2025 Accepting new patients

Locations

1813 W Harvard Ave
Ste 140
Roseburg, OR 97471
Phone (541) 229-7275

Interoperability endpoints

  • Direct secure messaging: luke.herscher.1@28281.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1619974235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 W CENTRAL AVE",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799472",
            "telephone_number": "541-459-0303",
            "fax_number": "541-459-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 W CENTRAL AVE",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799472",
            "telephone_number": "541-459-0303",
            "fax_number": "541-459-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHER",
        "first_name": "FRED",
        "middle_name": "LUKE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "13700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutherlin, OR

Sources for this page

Verify at the official NPI Registry.