2026 NPPES data Family Medicine Physician NPI 1982628129 MD
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Kevin Herron, MD

Family Medicine Physician in Mill Creek, Washington.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,125 in 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
3K
Medicare Part D claims · 328 beneficiaries · Family Medicine Physician avg: 4K
Generic prescribing
92%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

Kevin Herron, MD filed 2,800 Medicare Part D claims in 2024 as a Family Medicine Physician in Mill Creek, Washington, prescribing 92% generic.

3K
Part D claims, 2024
92%
generic prescribing
≥88th
pct by Part D claim volume (lower-bound band)

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.

Federal trust snapshot

What official records show about Kevin Herron, MD

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1982628129), first enumerated 07/27/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,800 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Board certification signal

    Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.

    Source: NUCC taxonomy + CMS participation heuristic

  • State context

    State board disciplinary context

    Washington statewide board action statistics are published annually — these figures describe aggregate state activity, not Kevin Herron, MD's individual license status. Verify directly with the state medical board.

    Source: WMC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1982628129 · Family Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · RX-MID · BOOK-MID · PHOTO-ENUM

  • NPI-10 1982628129
  • ENUM-LEGACY 2006
  • TAX-MEGA 150K Family Medicine
  • RX-MID 2,800
  • BOOK-MID 5,264 in Washington
  • PHOTO-ENUM Clarence Bryant · 2006

Kevin Herron, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

2,800 ≥ 88th percentile 88% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). Below this entry. 600–800: 60,107 prescribers (4%). Below this entry. 800–1,000: 43,043 prescribers (3%). Below this entry. 1,000–1,200: 33,612 prescribers (2%). Below this entry. 1,200–1,400: 27,889 prescribers (2%). Below this entry. 1,400–1,600: 23,183 prescribers (2%). Below this entry. 1,600–1,800: 19,917 prescribers (1%). Below this entry. 1,800–2,000: 17,585 prescribers (1%). Below this entry. 2K+: 226,899 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

Board-eligible specialty (heuristic, not verified)

Kevin Herron, MD 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).

What does the federal data show about Kevin Herron, MD?

Quality data not reported

NPI registry status

Active

Issued 07/27/2006

NPI 1982628129

Primary specialty

Family Medicine Physician

High-volume

150,125 US NPIs in this specialty

Medicare Part D claims

2,800 20% vs specialty avg

2024 prescription claims

Specialty avg: 3,519

Specialty distribution in Washington

How Family Medicine Physician compares to other specialties among Washington providers

Washington providers
Mental Health Counselor8.5%Massage Therapist6.4%Counselor5.7%Behavior Technician4.7%Pharmacist3.8%Physical Therapist3.6%Family Medicine Physician2.6%
Largest specialties in Washington (% of in-state 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 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).

Practice Address

1025 153RD ST SE
Mill Creek, WA 98012

Provider Details

NPI 1982628129
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/27/2006

License & disciplinary context - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Kevin Herron, MD. To verify Kevin Herron, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Kevin Herron, MD - brand share 7.0%
Family Medicine Physician average

7% brand-name claims vs 92% generic, on 2,800 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

2,800
Total Claims
$159K
Total Drug Cost
328
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,480.766
Total Day Supply
190,853
Brand vs Generic
7% brand / 92% generic
Brand Drug Cost
$108K
Generic Drug Cost
$49K
Opioid Claims
75 (2.7% rate)
Antibiotic Claims
30

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
0.92
Gender Split
26% female / 74% male
Age Distribution
<65: 17, 65-74: 213, 75-84: 82, 85+: 16

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Kevin Herron, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Atorvastatin Calcium
166
Levothyroxine Sodium
122
Lisinopril
108
Amlodipine Besylate
92
Losartan Potassium
86
Tamsulosin Hcl
77
Metoprolol Succinate
62
Gabapentin
61
Escitalopram Oxalate
59
Omeprazole
59

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

Family Medicine Physician Overview

How Kevin Herron, MD fits within the Family Medicine Physician landscape nationally.

150,125
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,519
Avg Claims per Provider

Kevin Herron, MD's 2,800 claims are below the specialty average of 3,519.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Herron, both outside Washington so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Medicine Physician Providers in Washington

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

One of 5,264 Family Medicine Physician providers enrolled in Washington, 5 are shown here.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Kevin Herron, MD's specialty?
Kevin Herron, MD specializes in Family Medicine Physician and practices in Mill Creek, Washington. Credentials: MD.
How much does Kevin Herron, MD prescribe under Medicare Part D?
In 2024, Kevin Herron, MD wrote 2,800 Medicare Part D claims totaling $159K in drug costs for 328 beneficiaries.
Where is Kevin Herron, MD located?
Kevin Herron, MD is located at 1025 153RD ST SE, Mill Creek, WA, 98012. Phone: (425) 745-4750.
What is Kevin Herron, MD's NPI number?
Kevin Herron, MD's National Provider Identifier (NPI) is 1982628129, issued on 07/27/2006.
Does Kevin Herron, MD prescribe more brand-name or generic drugs?
Kevin Herron, MD's prescribing is 7% brand-name and 92% generic drugs by claim count, with $108K in brand drug costs.
Does Kevin Herron, MD prescribe opioids?
Yes, Kevin Herron, MD had 75 opioid claims in 2024 with an opioid prescribing rate of 2.7%.
How many Family Medicine Physician providers are there in the US?
There are 150,125 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,519 Medicare Part D claims per year.
What drugs does Kevin Herron, MD prescribe most often?
Based on 2024 Medicare Part D data, Kevin Herron, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kevin Herron, MD accept Medicare?
Kevin Herron, MD appears in CMS Medicare data with 2,800 Part D claims and 328 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kevin Herron, MD's credentials?
Kevin Herron, MD's NPI is 1982628129 with credentials MD. 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 (2024). 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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.