NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1528623535 DO
Verify on CMS → Diego Herrera, DO
Sports Medicine (Family Medicine) Physician in Dawsonville, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
562
Medicare Part D claims · 180 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Industry payments
$136.48
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Diego Herrera, DO filed 562 Medicare Part D claims in 2023 as a Sports Medicine (Family Medicine) Physician in Dawsonville, Georgia.
- 562
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Diego Herrera, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
562 Top 34% higher than 66% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Diego Herrera, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Diego Herrera, DO?
Quality data not reportedPrimary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
562 55% vs specialty avg
Specialty distribution in Georgia
How Sports Medicine (Family Medicine) Physician compares to other specialties among Georgia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Family Medicine) Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Diego Herrera, DO appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding DO credentials at 81 NORTHSIDE DAWSON DR STE 100, Dawsonville, GA, 30534, with a listed phone of (855) 647-7678. NPI 1528623535 was issued on 05/06/2019.
Medicare Part D records for calendar year 2023 show 562 prescription claims written by this provider, covering 180 Medicare beneficiaries and totaling roughly $66K in drug spend.
Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1528623535 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 05/06/2019 |
Hospital and facility affiliations
Facilities where Diego Herrera, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Northside Surgical Professional Services LLC
Dawsonville, GA
Physiotherapy Associates Inc
Alpharetta, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Diego Herrera, DO. Source: openpaymentsdata.cms.gov.
Total received
$136
Largest payer
Novo Nordisk Inc
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
562
Total Claims
$66K
Total Drug Cost
180
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,314
- Total Day Supply
- 38,164
- Generic Drug Cost
- $10K
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 74.4 years
- Avg HCC Risk Score
- 0.96
- Gender Split
- 49% female / 51% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Diego Herrera, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
40 claims
- Atorvastatin Calcium
Atorvastatin Calcium
40 claims
- Levothyroxine Sodium
Levothyroxine Sodium
29 claims
- Lisinopril
Lisinopril
17 claims
- Losartan Potassium
Losartan Potassium
16 claims
- Rosuvastatin Calcium 13
Rosuvastatin Calcium
13 claims
- Hydrochlorothiazide 12
Hydrochlorothiazide
12 claims
- Albuterol Sulfate … 11
Albuterol Sulfate Hfa
11 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 40 |
| Atorvastatin Calcium | 40 |
| Levothyroxine Sodium | 29 |
| Lisinopril | 17 |
| Losartan Potassium | 16 |
| Rosuvastatin Calcium | 13 |
| Hydrochlorothiazide | 12 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 11 |
| Metformin Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in GA →
All providers in Georgia →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Diego Herrera, DO fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider
Diego Herrera, DO's 562 claims are below the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Herrera.
Dr. Chelsey Beckham
M.S., ATC, LAT
Woodstock, GA
Dr. Crystal Bright
MD
Lavonia, GA
Dr. John Buchanan
DO
Dacula, GA
Dr. Patrick Carey
D.O.
Fort Moore, GA
Dr. Corey Carson
M.D.
Marietta, GA
Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Explore Georgia
Frequently Asked Questions
What is Diego Herrera, DO's specialty? ▼
Diego Herrera, DO specializes in Sports Medicine (Family Medicine) Physician and practices in Dawsonville, Georgia. Credentials: DO.
How much does Diego Herrera, DO prescribe under Medicare Part D? ▼
In 2023, Diego Herrera, DO wrote 562 Medicare Part D claims totaling $66K in drug costs for 180 beneficiaries.
Where is Diego Herrera, DO located? ▼
Diego Herrera, DO is located at 81 NORTHSIDE DAWSON DR STE 100, Dawsonville, GA, 30534. Phone: (855) 647-7678.
What is Diego Herrera, DO's NPI number? ▼
Diego Herrera, DO's National Provider Identifier (NPI) is 1528623535, issued on 05/06/2019.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does Diego Herrera, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Diego Herrera, DO's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Diego Herrera, DO accept Medicare? ▼
Diego Herrera, DO appears in CMS Medicare data with 562 Part D claims and 180 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Diego Herrera, DO's credentials? ▼
Diego Herrera, DO's NPI is 1528623535 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.