Physician

Robert Dean Herron, DO

According to 2025 Medicare claims, Robert Herron, DO (NPI: 1538402938) practices thoracic surgery in the Wheeling, WV-OH market, with the plurality of this provider's patient population coming from Ohio, WV. This provider's primary affiliated billing organization is WHEELING HOSPITAL INC (NPI: 1548923923; TIN: 55-0357057) and primary practice location at 26003-6379. Herron is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Herron's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 253 traditional Medicare patients, billed 625 HCPCS/CPT codes, and received $66,926 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 65 prescription claims across 37 beneficiaries totaling $493 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). Open Payments data shows 7 records totaling $1,215. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $844 and ending at $493. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	74	156	$17,162
2021	165	460	$50,811
2022	191	513	$62,974
2023	221	715	$73,283
2024	253	625	$66,926

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	40	54	$844
2016	20	27	$1,190
2017	26	37	$325
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	18	22	$1,121
2021	18	21	$443
2022	50	84	$1,076
2023	55	107	$4,502
2024	37	65	$493

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	34	$97
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	42	$65
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$61
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	59	$59
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	108	132	$45

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	20	57	$53

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$1,215	INTUITIVE SURGICAL, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Robert Dean Herron, DO?

Tedicare shows public-source Medicare data for Robert Dean Herron, DO (NPI 1538402938), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Robert Dean Herron, DO have ACO affiliation data?

Robert Dean Herron, DO is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Robert Dean Herron, DO?

Robert Dean Herron, DO is linked to WHEELING HOSPITAL INC (billing NPI 1548923923) in the available physician profile data.

Does Robert Dean Herron, DO have Open Payments data?

Robert Dean Herron, DO has 7 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.