Timothy O'Herron, MD
NPI 1386105906 · Family Medicine Physician · Cedar Knolls, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy O'Herron, MD is a Family Medicine Physician provider in Cedar Knolls, NJ (NPI 1386105906).
Provider details
- NPI number
- 1386105906
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
601 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 222 | $140 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 166 | $99 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 69 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 48 | $142 |
| Administration of Influenza Virus VaccineG0008 | 22 | $34 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 100 | 50 |
| Levothyroxine Sodium | 81 | 32 |
| Rosuvastatin Calcium | 78 | 35 |
| Amlodipine Besylate | 67 | 29 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 50 | 26 |
| Losartan Potassium | 44 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,270 across 69 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-27
- Last updated
- 2023-03-02
- Certified
- 2023-03-02
Frequently asked questions
- What is Timothy O'Herron's NPI number?
- Timothy O'Herron's National Provider Identifier (NPI) is 1386105906, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy O'Herron's specialty?
- Timothy O'Herron is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy O'Herron located?
- Timothy O'Herron's practice location on file with NPPES is 11 Saddle Rd, Cedar Knolls, NJ 07927-1901.
- What is Timothy O'Herron's phone number?
- The practice phone number listed in the NPPES registry for Timothy O'Herron is (908) 522-2000.
- Does Timothy O'Herron accept Medicare?
- Timothy O'Herron is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy O'Herron's NPI active?
- Yes — Timothy O'Herron's NPI (1386105906) is active in the NPPES registry as of the last update on 2023-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.