What is Michael Herman's specialty?

Michael Herman (NPI 1831179290) is a Medicare-billing provider whose primary specialty is Gastroenterology in Fleming Island, FL.

Where does Michael Herman practice?

Michael Herman practices in Fleming Island, FL, based on the location reported in the CMS Medicare provider datasets for NPI 1831179290.

How much does Medicare pay Michael Herman?

Michael Herman (NPI 1831179290) received approximately $253K in total Medicare Part B payments, serving 907 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1831179290

Michael HermanDO

GastroenterologyFleming Island, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,714

Unique beneficiaries

—

Total services

2,567

Distinct HCPCS

Medicare payment

$240K

Peer benchmark

Total Medicare services vs. 1,135 Gastroenterology providers in FL — top quintile (cohort median 817).

PRESCRIBING · PART D · 2024

Total Rx claims

265

Beneficiaries

—

Total drug cost

$14K

Distinct drugs

Brand share

14.3%

Top prescribed drugs

Pantoprazole Sodium94 claims

Famotidine28 claims

Sucralfate26 claims

Lactulose22 claims

Esomeprazole Magnesium16 claims

QUALITY · MIPS · 2024

Final MIPS score

78.9

Quality

69.7

Cost

69.3

Improvement activities

40.0

Promoting interop.

89.0

Payment adjustment

0.17%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$26K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$21K

Travel and Lodging$3K

Food and Beverage$2K

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$21K

Travel and Lodging$3K

Food and Beverage$2K

REFERRAL NETWORK

Where Michael Herman'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). 113 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC.	397	1,217
Fleming Island Surgery Center Ambulatory Surgical Center · Orange Park, FL	125	157
Raychel Raymer Physician Assistant · Fleming Island, FL	97	231
CHOW, LEON	92	440
KINDRED HOSPITALS EAST, LLC	85	250
James Carter Diagnostic Radiology · Jacksonville, FL	83	210
BUXTON, RICHARD	82	178
Shradha Pokharel Infectious Disease · Orange Park, FL	78	890
Diana Figueroa Hospitalist · Jacksonville, FL	76	243
Rajesh Vishen Internal Medicine · Orange Park, FL	72	556
Eugene Mccoskey Internal Medicine · Orange Park, FL	68	828
Christopher Roman Diagnostic Radiology · Tulsa, OK	62	191

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