Doctor profile · Federal record
Dr. Karl Herman, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Providence, RI
- NPI 1003253063
- Accepts Medicare
- 13 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
164 Summit Ave, Fain Bldg.
Providence, RI 029062853
(401) 793-4489
fax (401) 793-4047
Credentials & registration
- NPI registered
- May 2013 — 13 yrs on file
- Profile last updated
- June 10, 2016
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Rhode Island #MD15316
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003253063. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
373
Distinct HCPCS
5
Medicare allowed
$48,222
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 147 | 89 | $120 | |
99239 |
Hospital discharge day management, more than 30 minutes | 114 | 111 | $116 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 82 | 80 | $175 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 18 | 15 | $80 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | 12 | $131 |
In context: peer comparison
Among 103 peers in Providence Internal Medicine Physician, average services per provider: 76. This provider delivers 4.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
89
Patients
64
Total drug cost
$8,725
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 24 | 23 | $106 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 15 | 15 | $167 |
| Cefpodoxime Proxetil | Generic | 15 | 15 | $708 |
| Eliquis (Apixaban) | Brand | 13 | 0 | $7,666 |
| Furosemide | Generic | 11 | 0 | $49 |
| Oxycodone Hcl | Generic | 11 | 11 | $29 |
Hospital affiliations
Frequently asked questions
What is Dr. Karl Herman's medical specialty?
Dr. Karl Herman practices Internal Medicine Physician in Providence, RI.
Where does Dr. Karl Herman practice?
Dr. Karl Herman practices at 164 Summit Ave, Providence, RI 029062853. Office phone: 4017934489.
What is Dr. Karl Herman's NPI?
Dr. Karl Herman's National Provider Identifier (NPI) is 1003253063, issued by NPPES.
Does Dr. Karl Herman accept Medicare assignment?
Yes. Dr. Karl Herman accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Karl Herman commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99239); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.