NPPES file of Aug 9, 2026

Carlton Wayne Herald, DO

Internal Medicine Physician · Gallipolis, OH

Carlton Wayne Herald, DO is an internal medicine physician with a practice address in Gallipolis, Ohio, and NPI 1053302836, issued on Nov 2, 2005. Check the license (Ohio 34.007166, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053302836
Name
Carlton Wayne Herald
Credential
DO
Primary taxonomy
Internal Medicine Physician 207R00000X
License numbers
34.007166 OH
1984 WV
Self-reported in NPPES; status is on the state search
Practice location
100 Jackson Pike, Gallipolis, OH 45631
Phone
(740) 446-5533
Enumerated
Nov 2, 2005
Record last updated
Jul 21, 2022
Fax
(740) 441-3318
Medicaid IDs
2005609000 WV
2168890 OH
64071467 KY
Medicare enrollment
Enrolled (PECOS I20130424000315); accepts Medicare assignment
Medical or professional school
West Virginia School Of Osteopathic Medicine, 1998
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 100 Jackson Pike

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jessica Adams-Duffield, PHARMDPharmacist1730014259
  2. Julie Addis, FNP-CFamily Nurse Practitioner1518336098
  3. Sidra Ahmed, MDStudent in an Organized Health Care Education/Training Program1215723911
  4. Neha Ahuja, M.D.Student in an Organized Health Care Education/Training Program1245168046
  5. Zahran Alras, MDStudent in an Organized Health Care Education/Training Program1316794431
  6. Angela Arnold, FNP-BCFamily Nurse Practitioner1053055202

Verify Carlton Wayne Herald in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersState Medical Board of Ohio
    Search for license 34.007166
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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90% fewer Medicare Part D claims than the average internal medicine physician in 2024

319 Medicare Part D claims for 108 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.

  1. Carlton Herald319
  2. Specialty average3,176

Most prescribed

  1. Cefdinir22 claims
  2. Atorvastatin Calcium18 claims
  3. Amlodipine Besylate17 claims
  4. Losartan Potassium15 claims
  5. Nitroglycerin15 claims
  6. Furosemide12 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): 81.4 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.

  1. Qualityout of 100 · 30% of the final score69.3
  2. Costout of 100 · 30%58.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $154.90

6 payments; by number, the most common kind was food and beverage; the largest payer was Zoll Services LLC (a/k/a Zoll LifeCor Corp). The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Carlton Herald$154.90
  2. Specialty average$1,303.06

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

  1. Holzer Clinic LLCJackson, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

20 internal medicine physician records list a practice address in Gallipolis

They are 20 of the 817 NPPES records with a practice address in Gallipolis, and 5,277 internal medicine physician records in Ohio.

Other internal medicine physician records in Ohio

  1. Evan Abalos, D.O.Toledo, OH1194163089
  2. Susan Abbott, MDCincinnati, OH1568414290
  3. Walid Abboud, MDCleveland, OH1245295559
  4. Joelle Abdallah, MDColumbus, OH1912577651
  5. Mandi Abdel Ahad, DOCleveland, OH1235870551
  6. Saaid Abdel-Ghani, M.D.Columbus, OH1598926529
  7. Bahaa Abdelghaffar, MDCleveland, OH1265954275
  8. John Abdelnour, MDCleveland, OH1114656931
  9. Ahmad Abdelrahman, MDToledo, OH1134859192
  10. Nawal Abdi, MDCleveland, OH1154002582

Common questions

What is Carlton Wayne Herald, DO's NPI number?

Carlton Wayne Herald, DO's National Provider Identifier (NPI) is 1053302836, issued on Nov 2, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Carlton Wayne Herald, DO located?

The NPPES record lists a practice address at 100 Jackson Pike, Gallipolis, OH, 45631. Phone: (740) 446-5533. Providers update this record themselves, so call before visiting.

How can I verify Carlton Wayne Herald, DO's license?

NPPES lists Ohio license number 34.007166, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Carlton Wayne Herald, DO prescribe under Medicare Part D?

In 2024, Carlton Wayne Herald, DO had 319 Medicare Part D claims for 108 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Carlton Wayne Herald, DO's MIPS final score?

The 2023 MIPS final score is 81.4 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.