Doctor profile · Federal record
Dr. Michael Herman, DO
Gastroenterology Physician (CMS: Gastroenterology) · Fleming Island, FL
- NPI 1831179290
- Accepts Medicare
- MIPS 77.2 / 100 · 2023
- 27 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1747 Baptist Clay Dr Ste 300
Fleming Island, FL 320038503
(904) 214-8100
fax (904) 214-8109 - Mailing address
-
4800 Belfort RD
Jacksonville, FL 322566004
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- March 13, 2019
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Florida #OS8819
- Medicaid
- FL #003213400
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1831179290. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,871
Distinct HCPCS
10
Medicare allowed
$228,558
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 545 | 241 | $80 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 229 | 120 | $120 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 222 | 218 | $96 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 201 | 201 | $144 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 128 | 93 | $127 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 108 | 58 | $179 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 104 | 103 | $254 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 101 | 98 | $132 | |
43450 |
Dilation of esophagus | 51 | 50 | $40 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 43 | 42 | $175 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 88. This provider delivers 21× the peer median.Open Payments
Industry payments received
All-time total
$25,961
Transactions
51
Manufacturers
11
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Madrigal Pharmaceuticals | 18 | $20,756.59 | |
| Phathom Pharmaceuticals, Inc. | 6 | $4,586.61 | |
| ABBVIE INC. | 16 | $302.75 | |
| Janssen Scientific Affairs, LLC | 1 | $127.03 | |
| PFIZER INC. | 3 | $49.69 | |
| Merck Sharp & Dohme LLC | 2 | $43.61 | |
| GENZYME CORPORATION | 1 | $26.55 | |
| Alnylam Pharmaceuticals Inc. | 1 | $22.63 | |
| IRONWOOD PHARMACEUTICALS, INC | 1 | $19.95 | |
| Lilly USA, LLC | 1 | $16.03 | |
| Janssen Biotech, Inc. | 1 | $9.72 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
171
Patients
40
Total drug cost
$54,743
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 64 | 27 | $918 |
| Famotidine | Generic | 30 | 13 | $492 |
| Omeprazole | Generic | 18 | 0 | $343 |
| Linzess (Linaclotide) | Brand | 13 | 0 | $12,861 |
| Mesalamine Er (Mesalamine) | Brand | 12 | 0 | $3,780 |
| Metformin Hcl | Generic | 12 | 0 | $36 |
| Xifaxan (Rifaximin) | Brand | 11 | 0 | $35,592 |
| Zenpep (Lipase/Protease/Amylase) | Brand | 11 | 0 | $721 |
Hospital affiliations
Frequently asked questions
What is Dr. Michael Herman's medical specialty?
Dr. Michael Herman practices Gastroenterology Physician in Fleming Island, FL.
Where does Dr. Michael Herman practice?
Dr. Michael Herman practices at 1747 Baptist Clay Dr Ste 300, Fleming Island, FL 320038503. Office phone: 9042148100.
What is Dr. Michael Herman's NPI?
Dr. Michael Herman's National Provider Identifier (NPI) is 1831179290, issued by NPPES.
Does Dr. Michael Herman accept Medicare assignment?
Yes. Dr. Michael Herman accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Herman commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239). Source: CMS Medicare Physician & Other Practitioners file.