2026 NPPES data Plastic Surgery Physician NPI 1932394962 M.D.
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Jeffrey Herold, M.D.

Plastic Surgery Physician in Sheboygan, Wisconsin. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,316 in Plastic Surgery 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
162
Medicare Part D claims · 122 beneficiaries · Plastic Surgery Physician avg: 84
MIPS score
94.6/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$13.39
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Jeffrey Herold, M.D. reported a CMS MIPS final score of 94.6/100 - above the 83.1 national average - and filed 162 Medicare Part D claims in 2023.

94.6/100
MIPS score · +12 vs avg
162
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.

Jeffrey Herold, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

95 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Where Jeffrey Herold, M.D. sits

This provider among plastic surgery physician peers

Across the 561 plastic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jeffrey Herold, M.D. writes more Part D claims than 80% of them and scores higher on MIPS quality than 80% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 58Jeffrey Herold, M.D.-Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 80
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one plastic surgery physician peer from a representative sample of 60; the gold marker is Jeffrey Herold, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Jeffrey Herold, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Jeffrey Herold, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/12/2007

NPI 1932394962

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

162 93% vs specialty avg

2023 prescription claims

Specialty avg: 84

MIPS final score

94.6/100 11.5 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Plastic Surgery Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Largest specialties in Wisconsin (% of in-state providers)

Physical Therapist - 5.6%Physical Therapist5.6%Pharmacist - 4.8%Pharmacist4.8%Registered Nurse - 4.5%Registered Nurse4.5%Professional Counselor - 3.3%Professional Counselor3.3%Student in an Organized Health Care Education/Training Program - 3.3%Student in an Organized Health Care Education/Training Program3.3%Family Medicine Physician - 3.2%Family Medicine Physician3.2%Plastic Surgery Physician - 0.1%Plastic Surgery Physician0.1%
Largest specialties in Wisconsin (% of in-state providers)

Medicare quality performance, MIPS

Jeffrey Herold, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
94.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery Physician) - 94.6/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Plastic Surgery Physician) - 94.6/100 vs national avg 83.1

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).

Jeffrey Herold, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 1526 N TAYLOR DR, Sheboygan, WI, 53081, with a listed phone of (920) 803-1598. NPI 1932394962 was issued on 09/12/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Herold 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 162 prescription claims written by this provider, covering 122 Medicare beneficiaries and totaling roughly $635 in drug spend, with an opioid prescribing rate of 52.5%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6/100 for the 2023 performance year (Quality 85.2), compared with the national average of 83.1.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 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

1526 N TAYLOR DR
Sheboygan, WI 53081

Provider Details

NPI 1932394962
Specialty Plastic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 09/12/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Jeffrey Herold, M.D. 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.

St. Nicholas Hospital-Sisters OF The Third Order OF St Francis
Sheboygan, WI

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 Jeffrey Herold, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$13

Largest payer

Urgo Medical North America, LLC

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.

162
Total Claims
$635
Total Drug Cost
122
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
162
Total Day Supply
517
Brand Drug Cost
$0
Generic Drug Cost
$635
Opioid Claims
85 (52.5% rate)
Antibiotic Claims
71

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.19
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
75
Doxycycline Hyclate
52

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Plastic Surgery Physician Overview

How Jeffrey Herold, M.D. fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

Jeffrey Herold, M.D.'s 162 claims are above the specialty average of 84.

Nearby Plastic Surgery Physician Providers in Wisconsin

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

Compare Plastic Surgery 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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Plastic Surgery 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.

Frequently Asked Questions

What is Jeffrey Herold, M.D.'s specialty?
Jeffrey Herold, M.D. specializes in Plastic Surgery Physician and practices in Sheboygan, Wisconsin. Credentials: M.D..
How much does Jeffrey Herold, M.D. prescribe under Medicare Part D?
In 2023, Jeffrey Herold, M.D. wrote 162 Medicare Part D claims totaling $635 in drug costs for 122 beneficiaries.
What is Jeffrey Herold, M.D.'s Medicare quality score?
Jeffrey Herold, M.D. has a CMS MIPS Final Score of 94.6/100 (Quality: 85.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jeffrey Herold, M.D. located?
Jeffrey Herold, M.D. is located at 1526 N TAYLOR DR, Sheboygan, WI, 53081. Phone: (920) 803-1598.
What is Jeffrey Herold, M.D.'s NPI number?
Jeffrey Herold, M.D.'s National Provider Identifier (NPI) is 1932394962, issued on 09/12/2007.
Does Jeffrey Herold, M.D. prescribe opioids?
Yes, Jeffrey Herold, M.D. had 85 opioid claims in 2023 with an opioid prescribing rate of 52.5%.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
What drugs does Jeffrey Herold, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Jeffrey Herold, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jeffrey Herold, M.D. accept Medicare?
Jeffrey Herold, M.D. appears in CMS Medicare data with 162 Part D claims and 122 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jeffrey Herold, M.D.'s credentials?
Jeffrey Herold, M.D.'s NPI is 1932394962 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
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.