James Raymond Hereth, M.D.
Pediatric Critical Care Medicine Physician · Buffalo, NY
James Raymond Hereth, M.D. is a pediatric critical care medicine physician with a practice address in Buffalo, New York, and NPI 1912161530, issued on Jul 13, 2008. Check the license (New York 247895, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- James Raymond Hereth
- Credential
- M.D.
- Primary taxonomy
- Pediatric Critical Care Medicine Physician 2080P0203X
- License number
- 247895 NY
Self-reported in NPPES; status is on the state search - Practice location
- 818 Ellicott St, Buffalo, NY 14203
- Phone
- (716) 323-0200
- Enumerated
- Jul 13, 2008
- Record last updated
- Jan 18, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (716) 323-0293
- Medicaid ID
- 03103335 NY
- Medicare enrollment
- Enrolled (PECOS I20090708000011); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Buffalo School Of Medicine, 2004
- Entity
- Type 1 · individual
8 nearest pediatric critical care medicine physician records → All 247 in New York → Look up another NPI →
Also registered at 818 Ellicott St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hend Abd El Baky, MDStudent in an Organized Health Care Education/Training Program1619618311
- Samah AbdelhadyStudent in an Organized Health Care Education/Training Program1891436721
- Dawn Adams, PNPPediatric Clinical Nurse Specialist1194042416
- Affan Ahmad, MDAnesthesiology Physician1831658822
- Natalie Appleby, PNPPediatric Nurse Practitioner1619733102
- Fred Archer, MDPediatrics Physician1982702833
Verify James Raymond Hereth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 247895Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 94.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $62.54
2 payments; by number, the most common kind was food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 414 providers of this specialty with any payment received $1,291.66 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- Kaleida HealthBuffalo, NY · Acute Care Hospitals3 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
James Raymond Hereth among 247 pediatric critical care medicine physician records in New York
James Raymond Hereth, M.D. is one of 247 pediatric critical care medicine physician records with a practice address in New York. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 37% of them.
- NPI issued2008 · 37% of these records are older, 57% newer
- In a Medicare fileYes · 31% of these records are
- In the CMS Doctors and Clinicians fileYes · 22% of these records are
- Graduated2004 · median 2014 among the 55 with a school on file
- Record last updated2021 · 41% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0203X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Critical Care Medicine Physician providers in New York
There are 247 pediatric critical care medicine physician records in New York.
All 247 in New York → Every provider in Buffalo → Pediatric Critical Care Medicine Physician nationwide →
The 8 pediatric critical care medicine physician records with the nearest ZIP codes
- Michael Bowler, MDBuffalo, NY 142031720475759
- Ryan BreuerBuffalo, NY 142031285894907
- Benny Joyner, MDBuffalo, NY 142031679613558
- Bree Kramer, DOBuffalo, NY 142031477704609
- Abigail McGinnis, MDBuffalo, NY 142031285130732
- Hasina Mohammad Ashraf, MDBuffalo, NY 142031609361815
- Ripal Patel, MDBuffalo, NY 142031073967980
- Lynn Hernan, MDBuffalo, NY 142221669567749
Common questions
What is James Raymond Hereth, M.D.'s NPI number?
James Raymond Hereth, M.D.'s National Provider Identifier (NPI) is 1912161530, issued on Jul 13, 2008. An NPI identifies a provider in billing; it is not a license.
Where is James Raymond Hereth, M.D. located?
The NPPES record lists a practice address at 818 Ellicott St, Buffalo, NY, 14203. Phone: (716) 323-0200. Providers update this record themselves, so call before visiting.
How can I verify James Raymond Hereth, M.D.'s license?
NPPES lists New York license number 247895, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is James Raymond Hereth, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.