2026 NPPES data Gastroenterology Physician NPI 1417193582 M.D.
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HERMAN BIRKNER, M.D.

Gastroenterology Physician in SARASOTA, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
25
Medicare Part D claims · Gastroenterology Physician avg: 833
What the federal data reveals: HERMAN BIRKNER, M.D. is a Gastroenterology Physician ([object Object]) practicing in SARASOTA, Florida with a Medicare Part D prescribing footprint of 25 claims .

What stands out: HERMAN BIRKNER, M.D. filed 25 Medicare Part D claims in 2023 across SARASOTA, Florida. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

HERMAN BIRKNER, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

HERMAN BIRKNER, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 12/19/2008

NPI 1417193582

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

25 97% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in Florida

How Gastroenterology Physician compares to other specialties among Florida providers

Florida providers

Gastroenterology Physician share within Florida

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

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).

HERMAN BIRKNER, M.D. is a Gastroenterology Physician provider practicing in SARASOTA, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1417193582. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

HERMAN BIRKNER, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 1537 CARIBBEAN DR, SARASOTA, FL, 34231, with a listed phone of (941) 924-3749. NPI 1417193582 was issued on 12/19/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIRKNER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 25 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $365 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

1537 CARIBBEAN DR
SARASOTA, FL 34231

Provider Details

NPI 1417193582
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 12/19/2008

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to HERMAN BIRKNER, M.D.. To verify HERMAN BIRKNER, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

25
Total Claims
$365
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
42
Total Day Supply
941
Brand Drug Cost
$0
Generic Drug Cost
$365

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.27

Gastroenterology Physician Overview

How HERMAN BIRKNER, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

HERMAN BIRKNER, M.D.'s 25 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as BIRKNER.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HERMAN BIRKNER, M.D.'s specialty?
HERMAN BIRKNER, M.D. specializes in Gastroenterology Physician and practices in SARASOTA, Florida. Credentials: M.D..
How much does HERMAN BIRKNER, M.D. prescribe under Medicare Part D?
In 2023, HERMAN BIRKNER, M.D. wrote 25 Medicare Part D claims totaling $365 in drug costs for N/A beneficiaries.
Where is HERMAN BIRKNER, M.D. located?
HERMAN BIRKNER, M.D. is located at 1537 CARIBBEAN DR, SARASOTA, FL, 34231. Phone: (941) 924-3749.
What is HERMAN BIRKNER, M.D.'s NPI number?
HERMAN BIRKNER, M.D.'s National Provider Identifier (NPI) is 1417193582, issued on 12/19/2008.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
Does HERMAN BIRKNER, M.D. accept Medicare?
HERMAN BIRKNER, M.D. appears in CMS Medicare data with 25 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HERMAN BIRKNER, M.D.'s credentials?
HERMAN BIRKNER, M.D.'s NPI is 1417193582 with credentials M.D.. 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

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