Lori A. Herbst, MD
Pediatrics Physician · Cincinnati, OH
Lori A. Herbst, MD is a pediatrics physician with a practice address in Cincinnati, Ohio, and NPI 1174752067, issued on Jul 13, 2009. Check the license (Ohio 35.123419, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.
- Name
- Lori A. Herbst
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 35.123419 OH
Self-reported in NPPES; status is on the state search - Practice location
- 3333 Burnet Ave., Cincinnati, OH 45229
- Phone
- (513) 803-8092
- Enumerated
- Jul 13, 2009
- Record last updated
- Sep 4, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (513) 803-9245
- Medicaid IDs
- 0104080 OH
7100305360 KY
201233460 IN - Medicare enrollment
- Enrolled (PECOS I20140617001553); accepts Medicare assignment
- Medical or professional school
- Indiana University School Of Medicine, 2009
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 2,972 in Ohio → Look up another NPI →
Also registered at 3333 Burnet Ave.
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Niekoo Abbasian, M.D.Pediatric Anesthesiology Physician1396060984
- Cynthia Acree, CNPNurse Practitioner1841311776
- Evaline Alessandrini, M.D.Pediatric Emergency Medicine (Pediatrics) Physician1538184965
- Jeffrey Alten, M.D.Pediatric Critical Care Medicine Physician1437155306
- Roxane Anderson, RN, CNPNurse Practitioner1467579110
- Lynn Babcock, M.D.Pediatric Emergency Medicine (Pediatrics) Physician1457384992
Verify Lori A. Herbst in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersState Medical Board of Ohio
Search for license 35.123419Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average pediatrics physician in 2024
13 Medicare Part D claims, against an average of 375 among the 5,609 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 78.8 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).
Bills Medicare through one group practice
- Children's Hospital Medical CenterCincinnati, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lori A. Herbst among 2,972 pediatrics physician records in Ohio
Lori A. Herbst, MD is one of 2,972 pediatrics physician records with a practice address in Ohio. 35% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 54% of them.
- NPI issued2009 · 54% of these records are older, 43% newer
- In a Medicare fileYes · 35% of these records are
- In the CMS Doctors and Clinicians fileYes · 10% of these records are
- Graduated2009 · median 2014 among the 297 with a school on file
- Record last updated2018 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
521 pediatrics physician records list a practice address in Cincinnati
They are 521 of the 31,362 NPPES records with a practice address in Cincinnati, and 2,972 pediatrics physician records in Ohio.
All 2,972 in Ohio → Every provider in Cincinnati → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Benjamin Bolser, M.D.Cincinnati, OH 452291336148865
- Scott Callahan, MDCincinnati, OH 452291790733194
- David Feiman, MDCincinnati, OH 452291942274568
- Kevin Johnson, M.D.Cincinnati, OH 452291174510499
- Jennifer Lail, MDCincinnati, OH 452291609862481
- Alisa McGill, M.D.Cincinnati, OH 452291174521744
- Heather Mittiga, MDCincinnati, OH 452291821091786
- John Morrison, MDCincinnati, OH 452291871586552
Common questions
What is Lori A. Herbst, MD's NPI number?
Lori A. Herbst, MD's National Provider Identifier (NPI) is 1174752067, issued on Jul 13, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Lori A. Herbst, MD located?
The NPPES record lists a practice address at 3333 Burnet Ave., Cincinnati, OH, 45229. Phone: (513) 803-8092. Providers update this record themselves, so call before visiting.
How can I verify Lori A. Herbst, MD's license?
NPPES lists Ohio license number 35.123419, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Lori A. Herbst, MD prescribe under Medicare Part D?
In 2024, Lori A. Herbst, MD had 13 Medicare Part D claims; the average among pediatrics physician prescribers was 375. Part D covers Medicare prescriptions only.
What is Lori A. Herbst, MD's MIPS final score?
The 2023 MIPS final score is 78.8 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.