Physician
John Thomas Herion, D.O.
According to 2025 Medicare claims, John Herion, D.O. (NPI: 1902331275) practices rheumatology in the Wilmington, NC market, with the plurality of this provider's patient population coming from New Hanover, NC. This provider's primary affiliated billing organization is CAROLINA ARTHRITIS ASSOCIATES, P.A. (NPI: 1427010081; TIN: 561745946) and primary practice location at 28401-6442. Herion is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.
Herion's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 377 traditional Medicare patients, billed 82,900 HCPCS/CPT codes, and received $1,145,274 in Medicare payments. The top billing code was 80076 (Liver function blood test panel). Part D data shows 1,057 prescription claims across 264 beneficiaries totaling $445,523 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2020 DME data shows 12 claims. Open Payments data shows 25 records totaling $977. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $2,235 to $445,523. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.