Carlos Alberto Herrera, M.D.
Gynecologic Oncology Physician · Edinburg, TX
Carlos Alberto Herrera, M.D. is a gynecologic oncology physician with a practice address in Edinburg, Texas, and NPI 1467435982, issued on Nov 29, 2005. Check the license (Texas J8573, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Carlos Alberto Herrera
- Credential
- M.D.
- Primary taxonomy
- Gynecologic Oncology Physician 207VX0201X
- License number
- J8573 TX
Self-reported in NPPES; status is on the state search - Practice location
- 2717 Michael Angelo, Edinburg, TX 78539
- Phone
- (956) 362-2310
- Enumerated
- Nov 29, 2005
- Record last updated
- Aug 14, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (956) 362-2323
- Medicaid IDs
- 131181310 TX
131181312 TX - Medicare enrollment
- Enrolled (PECOS I20041027000446); accepts Medicare assignment
- Medical or professional school
- University Of Texas Medical School At Houston, 1994
- Entity
- Type 1 · individual
8 nearest gynecologic oncology physician records → All 149 in Texas → Look up another NPI →
Verify Carlos Alberto Herrera in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license J8573Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.2 times the Medicare Part D claims of the average gynecologic oncology physician in 2024
617 Medicare Part D claims for 184 beneficiaries, against an average of 195 among the 1,475 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 51 claims were for opioids.
Most prescribed
- Megestrol Acetate72 claims
- Estradiol51 claims
- Acetaminophen-Codeine44 claims
- Metronidazole43 claims
- Amoxicillin-Clavulanate Potass39 claims
- Nystatin37 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 practice group's MIPS final score for 2023 (Medicare payment program): 86.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $777.41
16 payments; by number, the most common kind was food and beverage; the largest payer was Medical Device Business Services, Inc. The 1,199 providers of this specialty with any payment received $6,387.20 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
- Renaissance Specialty SurgeryEdinburg, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carlos Alberto Herrera among 149 gynecologic oncology physician records in Texas
Carlos Alberto Herrera, M.D. is one of 149 gynecologic oncology physician records with a practice address in Texas. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 92% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated1994 · median 2006 among the 119 with a school on file
- Record last updated2018 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VX0201X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gynecologic Oncology Physician providers in Texas
There are 149 gynecologic oncology physician records in Texas.
All 149 in Texas → Every provider in Edinburg → Gynecologic Oncology Physician nationwide →
The 8 gynecologic oncology physician records with the nearest ZIP codes
- Daniel Lee, D.O.Edinburg, TX 785391568445005
- Lyuba Levine, MDEdinburg, TX 785391730241217
- Mark Crozier, M.D.Austin, TX 787011376586271
- John Dalrymple, M.D.Austin, TX 787051447232467
- Paul Loar, M.D.Austin, TX 787051063488617
- Ellen Smith, M.D.Austin, TX 787051558305490
- Nerlyne Desravines, MDAustin, TX 787121174917272
- Marian Williams-Brown, MDAustin, TX 787121861696460
Common questions
What is Carlos Alberto Herrera, M.D.'s NPI number?
Carlos Alberto Herrera, M.D.'s National Provider Identifier (NPI) is 1467435982, issued on Nov 29, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Carlos Alberto Herrera, M.D. located?
The NPPES record lists a practice address at 2717 Michael Angelo, Edinburg, TX, 78539. Phone: (956) 362-2310. Providers update this record themselves, so call before visiting.
How can I verify Carlos Alberto Herrera, M.D.'s license?
NPPES lists Texas license number J8573, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Carlos Alberto Herrera, M.D. prescribe under Medicare Part D?
In 2024, Carlos Alberto Herrera, M.D. had 617 Medicare Part D claims for 184 beneficiaries; the average among gynecologic oncology physician prescribers was 195. Part D covers Medicare prescriptions only.
What is Carlos Alberto Herrera, M.D.'s MIPS final score?
The 2023 MIPS final score is 86.2 of 100, reported for the practice group. 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.