Doctor profile · Federal record

Dr. Herman Sardjono, MD

Internal Medicine Physician (CMS: Internal Medicine) · Arcadia, CA

  • NPI 1225142128
  • Accepts Medicare
  • 53 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
72 W Las Tunas Dr
Arcadia, CA 91007
(626) 821-5305
fax (626) 821-0141
Mailing address
72 Las Tunas Dr
Arcadia, CA 910078565

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
January 2, 2020
Year of graduation
1973 — 53 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
California #A41793
Medicaid
CA #00A417930

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1225142128. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
486
Distinct HCPCS
6
Medicare allowed
$43,404
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 272 137 $99
99212 Established patient office or other outpatient visit, 10-19 minutes 68 48 $62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 44 36 $26
99441 Telephone medical discussion with physician, 5-10 minutes 39 32 $37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 39 39 $140
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 24 24 $178

In context: peer comparison

Among 25 peers in Arcadia Internal Medicine Physician, average services per provider: 136. This provider delivers 3.6× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$283
Transactions
5
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Lilly USA, LLC 2 $135.65
AstraZeneca Pharmaceuticals Lp 2 $132.84
Novo Nordisk INC 1 $14.13

By nature of payment

Food and Beverage
$269
Travel and Lodging
$14

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
3,218
Patients
863
Total drug cost
$165,831
Drug Type Claims Patients Total cost
Losartan Potassium Generic 603 150 $8,908
Atorvastatin Calcium Generic 578 147 $9,247
Amlodipine Besylate Generic 309 85 $3,324
Metformin Hcl Generic 308 78 $3,183
Omeprazole Generic 205 55 $2,733
Azithromycin Generic 193 113 $968
Ezetimibe Generic 186 40 $10,485
Pioglitazone Hcl Generic 129 24 $3,650
Famotidine Generic 118 34 $2,442
Pravastatin Sodium Generic 117 24 $1,891

Frequently asked questions

Auto-generated from federal data
What is Dr. Herman Sardjono's medical specialty?
Dr. Herman Sardjono practices Internal Medicine Physician in Arcadia, CA.
Where does Dr. Herman Sardjono practice?
Dr. Herman Sardjono practices at 72 W Las Tunas Dr, Arcadia, CA 91007. Office phone: 6268215305.
What is Dr. Herman Sardjono's NPI?
Dr. Herman Sardjono's National Provider Identifier (NPI) is 1225142128, issued by NPPES.
Does Dr. Herman Sardjono accept Medicare assignment?
Yes. Dr. Herman Sardjono accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Herman Sardjono commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99212); Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS 99211). Source: CMS Medicare Physician & Other Practitioners file.