John Herion, M.D.
NPI 1629024898 · Nephrology Physician · Wilmington, NC
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Herion, M.D. is a Nephrology Physician provider in Wilmington, NC (NPI 1629024898).
Provider details
- NPI number
- 1629024898
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 00-28416 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,468 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) |
|---|---|---|
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 377 | $330 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 135 | $15 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 128 | $73 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 124 | $93 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 99 | $9 |
| Creatinine Level to Test for Kidney Function Or Muscle Injury |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Losartan Potassium | 97 | 26 |
| Amlodipine Besylate | 83 | 18 |
| Furosemide | 41 | 12 |
| Potassium Chloride | 34 | — |
| Sevelamer Carbonate | 33 | 14 |
| Calcium Acetate | 29 | — |
| Carvedilol | 23 | — |
| Dapagliflozin Propanediol |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$338 across 13 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
- 2006-05-26
- Last updated
- 2012-03-13
Frequently asked questions
- What is John Herion's NPI number?
- John Herion's National Provider Identifier (NPI) is 1629024898, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Herion's specialty?
- John Herion is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is John Herion located?
- John Herion's practice location on file with NPPES is 1302 Medical Center Dr, Wilmington, NC 28401-7503.
- What is John Herion's phone number?
- The practice phone number listed in the NPPES registry for John Herion is (910) 343-9800.
- Does John Herion accept Medicare?
- John Herion is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Herion's NPI active?
- Yes — John Herion's NPI (1629024898) is active in the NPPES registry as of the last update on 2012-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.