What is John Hereford's specialty?

John Hereford (NPI 1619931557) is a Medicare-billing provider whose primary specialty is Obstetrics & Gynecology in Kingsport, TN.

Where does John Hereford practice?

John Hereford practices in Kingsport, TN, based on the location reported in the CMS Medicare provider datasets for NPI 1619931557.

How much does Medicare pay John Hereford?

John Hereford (NPI 1619931557) received approximately $12K in total Medicare Part B payments, serving 76 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1619931557

John HerefordMD

PRACTICEBLUE RIDGE MEDICAL MANAGEMENT CORPORATIONSee all providers at this practice →

Obstetrics & GynecologyKingsport, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

150

Unique beneficiaries

—

Total services

166

Distinct HCPCS

Medicare payment

$6K

Peer benchmark

Total Medicare services vs. 458 Obstetrics & Gynecology providers in TN — top quintile (cohort median 123).

PRESCRIBING · PART D · 2024

Total Rx claims

678

Beneficiaries

—

Total drug cost

$69K

Distinct drugs

Brand share

34.5%

Top prescribed drugs

Estradiol227 claims

Mirabegron59 claims

Medroxyprogesterone Acetate46 claims

Fluconazole41 claims

Clobetasol Propionate39 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$392

Payment records

By payment type

Food and Beverage$392

Top paying entities

Food and Beverage$392

REFERRAL NETWORK

Where John Hereford's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 4 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SOIKE, DAVID	25	61
WELLMONT HEALTH SYSTEM	15	25
SOLSTAS LAB PARTNERS GROUP LLC	13	47
Arthur Austin Diagnostic Radiology · Johnson City, TN	12	23

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events