NPPES file of Aug 9, 2026

Kelly A. Herold, M.D.

Internal Medicine Physician · Madison, WI

Kelly A. Herold, M.D. is an internal medicine physician with a practice address in Madison, Wisconsin, and NPI 1083818918, issued on Jun 13, 2007. Check the license (Wisconsin 52539, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1083818918
Name
Kelly A. Herold
Credential
M.D.
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
52539 WI
Self-reported in NPPES; status is on the state search
Practice location
451 Junction RD, Madison, WI 53717
Phone
(608) 265-1600
Enumerated
Jun 13, 2007
Record last updated
Jan 5, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20110629000547); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
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 451 Junction RD

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

  1. Natalie Albino, AGNPNurse Practitioner1568238095
  2. Nicole Amass, NPNurse Practitioner1992769509
  3. Christopher Anderson, MDInternal Medicine Physician1245869973
  4. India Anderson-CarterObstetrics & Gynecology Physician1750910667
  5. Jon Arnason, MDRheumatology Physician1265760433
  6. William Aughenbaugh, MDDermatology Physician1033178272

Verify Kelly A. Herold in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 52539
    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 Wisconsin 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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2.4 times the Medicare Part D claims of the average internal medicine physician in 2024

7,526 Medicare Part D claims for 489 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 319 claims were for opioids.

  1. Kelly Herold7,526
  2. Specialty average3,176

Most prescribed

  1. Atorvastatin Calcium397 claims
  2. Levothyroxine Sodium316 claims
  3. Amlodipine Besylate241 claims
  4. Lisinopril237 claims
  5. Omeprazole218 claims
  6. Metoprolol Succinate214 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.

Bills Medicare through one group practice

  1. University OF Wisconsin Medical Foundation IncMadison, WI

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

Kelly A. Herold among 2,078 internal medicine physician records in Wisconsin

Kelly A. Herold, M.D. is one of 2,078 internal medicine physician records with a practice address in Wisconsin. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 54% of them.

  • NPI issued2007 · 54% of these records are older, 40% newer
  • In a Medicare fileYes · 70% of these records are
  • In the CMS Doctors and Clinicians fileYes · 53% of these records are
  • Graduated2007 · median 2002 among the 1,098 with a school on file
  • Record last updated2021 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

417 internal medicine physician records list a practice address in Madison

They are 417 of the 15,014 NPPES records with a practice address in Madison, and 2,078 internal medicine physician records in Wisconsin.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Lorna Belsky, MDMadison, WI 537171912974536
  2. John Blanchard, MDMadison, WI 537171982671517
  3. Shobhina Chheda, MDMadison, WI 537171538136213
  4. Daniela Constantinescu, MDMadison, WI 537171033103940
  5. David Feldstein, MDMadison, WI 537171396712444
  6. James Haine, MDMadison, WI 537171629063110
  7. Peter Idsvoog, MDMadison, WI 537171407822448
  8. Kristin Lewicki, MDMadison, WI 537171285695106

Common questions

What is Kelly A. Herold, M.D.'s NPI number?

Kelly A. Herold, M.D.'s National Provider Identifier (NPI) is 1083818918, issued on Jun 13, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Kelly A. Herold, M.D. located?

The NPPES record lists a practice address at 451 Junction RD, Madison, WI, 53717. Phone: (608) 265-1600. Providers update this record themselves, so call before visiting.

How can I verify Kelly A. Herold, M.D.'s license?

NPPES lists Wisconsin license number 52539, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kelly A. Herold, M.D. prescribe under Medicare Part D?

In 2024, Kelly A. Herold, M.D. had 7,526 Medicare Part D claims for 489 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

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.