Individual provider Active NPI

Ryan J Hershberger, O.D.

  • Optometrist
  • Mechanicsburg, PA
National Provider Identifier
1851372569
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001702 Issued in PA
Practice address
890 Century Dr
Mechanicsburg, PA 17055-4375
Phone
(717) 697-1414
Fax
(717) 697-4921
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001702 PA Primary

Addresses

Primary practice location

890 Century Dr
Mechanicsburg, PA 17055-4375

Mailing address

890 Century Dr
Mechanicsburg, PA 17055-4375
Phone (717) 697-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051123000310 PA Practitioner - Optometry 7517987381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
V. Eugene Kilmore, Jr., M.D., P.C.Group PAC ID 7618873530, 4 clinicians

Practice addresses (Care Compare)

890 Century Dr
Mechanicsburg, PA 17055-4375
Phone (717) 697-1414

Merit-based Incentive Payment System (MIPS)

Final score
89.28 of 100Reported as group
Quality
90.55
Improvement activities
40
Cost
76.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001702PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
V. Eugene Kilmore, Jr., M.D., P.C. Optometrist CurrentSince Jul 5, 2005 Accepting new patients
Dr. Steven C. Weller, Inc. Optometrist PastSince Sep 12, 2019 Accepting new patients
Dr. Steven C. Weller, Inc. Optometrist Past Accepting new patients

Locations

890 Century Dr
Mechanicsburg, PA 17055
Phone (717) 697-1414

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1851372569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 CENTURY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554375",
            "telephone_number": "717-697-1414",
            "fax_number": "717-697-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 CENTURY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554375",
            "telephone_number": "717-697-1414",
            "fax_number": "717-697-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHBERGER",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.