LEIGH J HERMAN MD
NPI 1962491290
Radiology - Diagnostic Radiology in Columbus, OH
NPI Status: Active since October 19, 2005
- Individual
- Male
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- Medicare Quality Reporting
About LEIGH HERMAN
This page provides the complete NPI Profile along with additional information for Leigh Herman, a provider established in Columbus, Ohio with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1962491290 assigned on October 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 35048638 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1962491290
- Provider Name
- LEIGH J HERMAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 793 W STATE ST COLUMBUS, OH 43222
- Location Phone
- (614) 234-5100
- Mailing Address
- DEPT L-647 COLUMBUS, OH 43260
- Mailing Phone
- (866) 287-0568
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-19-2005
- Last Update Date
- 07-18-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35048638
- License State
- OH
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0680204 | MEDICAID (05) | OH | |
| F14184 | MEDICARE UPIN (02) | ||
| 0590692 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 4 | 9 | 1 | 2 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 8 | 9 | 2 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 8 + 9 + 2 + 2 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1962491290 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508850538 | S NAYYER HUSSEIN JAFRI MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 793 W STATE ST MCW HOSPITAL PATHOLOGY DEPT COLUMBUS, OH 43222 (614) 234-5819 |
| 1548254410 | STEVEN EUGENE TUTTLE MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 793 W STATE ST MCW HOSPITAL PATHOLOGY DEPT COLUMBUS, OH 43222 (614) 234-5819 |
| 1184618779 | THOMAS ALAN PIIRA MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 793 W STATE ST MCW HOSPITAL PATHOLOGY DEPT COLUMBUS, OH 43222 (614) 234-5819 |
| 1962497701 | MRS. CONSUELO K BREWER RPH, BCNSP Individual | Pharmacist (Nutrition Support) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5830 |
| 1558350868 | W BRADFORD BIBLER MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1770572000 | RONALD D IRSIK MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1760471098 | RAKESH JHA MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1144219494 | MICHAEL D REUTER MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1669461828 | DOUGLAS W WIDMAN MD Individual | Radiology (Radiation Oncology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1467441725 | ANDREW D VERRILL MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1619966934 | ERNEST S CARDUCCI MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1205825536 | STEPHEN S JUNG MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1093704330 | ROBERT B MCGHEE MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1598754814 | RAFAEL A CELY MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1356330682 | ARTHUR Z FILIATRAUT MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1700875036 | EDWARD E FREY MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1558350884 | THOMAS V LLOYD MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1851380190 | MARY C OEHLER MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1245229590 | STEPHEN F PROBST MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
| 1982693214 | RICHARD J FUCHS MD Individual | Radiology (Diagnostic Radiology) | 793 W STATE ST COLUMBUS, OH 43222 (614) 234-5100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962491290, enumerated in the NPI registry as an "individual" on October 19, 2005
The provider is located at 793 W State St Columbus, Oh 43222 and the phone number is (614) 234-5100
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 19, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.