Carl Lewis Herndon, MD
Adult Reconstructive Orthopaedic Surgery Physician · New York, NY
Carl Lewis Herndon, MD is an adult reconstructive orthopaedic surgery physician with a practice address in New York, New York, and NPI 1619321809, issued on Apr 14, 2016. Check the license (New York 314727-01, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Carl Lewis Herndon
- Credential
- MD
- Primary taxonomy
- Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
- License numbers
- 314727-01 NY
2021-01325 NC
Self-reported in NPPES; status is on the state search - Practice location
- 622 W 168TH St PH 11-1120, New York, NY 10032
- Phone
- (212) 305-5976
- Enumerated
- Apr 14, 2016
- Record last updated
- Mar 10, 2023
- Medicare enrollment
- Enrolled (PECOS I20230105000804); accepts Medicare assignment
- Medical or professional school
- University Of Florida College Of Medicine, 2016
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest adult reconstructive orthopaedic surgery physician records → All 107 in New York → Look up another NPI →
Verify Carl Lewis Herndon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 314727-01Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
19% fewer Medicare Part D claims than the average adult reconstructive orthopaedic surgery physician in 2024
468 Medicare Part D claims for 183 beneficiaries, against an average of 579 among the 1,112 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 26 claims were for opioids.
Most prescribed
- Meloxicam354 claims
- Celecoxib40 claims
- Diclofenac Sodium Er13 claims
- Tramadol Hcl13 claims
- Oxycodone Hcl11 claims
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 MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $39,256.09
38 payments; by number, the most common kind was food and beverage; the largest payer was Medical Device Business Services, Inc. The 1,060 providers of this specialty with any payment received $68,015.27 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Trustees OF Columbia University IN The City OF New YorkNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carl Lewis Herndon among 107 adult reconstructive orthopaedic surgery physician records in New York
Carl Lewis Herndon, MD is one of 107 adult reconstructive orthopaedic surgery physician records with a practice address in New York. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 74% of them.
- NPI issued2016 · 74% of these records are older, 20% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated2016 · median 2009 among the 76 with a school on file
- Record last updated2023 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0114X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Adult Reconstructive Orthopaedic Surgery Physician providers in New York
There are 107 adult reconstructive orthopaedic surgery physician records in New York.
All 107 in New York → Every provider in New York → Adult Reconstructive Orthopaedic Surgery Physician nationwide →
The 8 adult reconstructive orthopaedic surgery physician records with the nearest ZIP codes
- Herbert Cooper, MDNew York, NY 100321376798850
- Nattaly Greene, MDNew York, NY 100321265992333
- Nana Sarpong, MD, MBANew York, NY 100321770945784
- Roshan Shah, MDNew York, NY 100321245438928
- Michael Bronson, M.D.New York, NY 100291679654289
- John Cordero, MDNew York, NY 100291629538111
- Sharon Walton, M.D.New York, NY 100291740423763
- Andrew Rosen, M.D.New York, NY 100281639171911
Common questions
What is Carl Lewis Herndon, MD's NPI number?
Carl Lewis Herndon, MD's National Provider Identifier (NPI) is 1619321809, issued on Apr 14, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Carl Lewis Herndon, MD located?
The NPPES record lists a practice address at 622 W 168TH St PH 11-1120, New York, NY, 10032. Phone: (212) 305-5976. Providers update this record themselves, so call before visiting.
How can I verify Carl Lewis Herndon, MD's license?
NPPES lists New York license number 314727-01, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Carl Lewis Herndon, MD prescribe under Medicare Part D?
In 2024, Carl Lewis Herndon, MD had 468 Medicare Part D claims for 183 beneficiaries; the average among adult reconstructive orthopaedic surgery physician prescribers was 579. Part D covers Medicare prescriptions only.
What is Carl Lewis Herndon, MD's MIPS final score?
The 2023 MIPS final score is 100 of 100. 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.