2026 NPPES data Internal Medicine Physician NPI 1225359987 MD
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MARGOT HERMAN, MD

Internal Medicine Physician in PORTLAND, Oregon. 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
683
Medicare Part D claims · 229 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.4697/100
▼ 15 pts below national avg 83.1 · [object Object]
Industry payments
$121.36
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARGOT HERMAN, MD reported a CMS MIPS final score of 68.4697/100 — below the 83.1 national average — and filed 683 Medicare Part D claims in 2023.

68.4697/100
MIPS score · -15 vs avg
683
Part D claims, 2023
77%
generic prescribing
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.

MARGOT HERMAN, MD's MIPS score vs every scored U.S. clinician

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

68 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

MARGOT HERMAN, MD 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 MARGOT HERMAN, MD?

Below national average

NPI registry status

Active

Issued 06/17/2010

NPI 1225359987

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

683 75% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

68.4697/100 14.630299999999991% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Oregon

How Internal Medicine Physician compares to other specialties among Oregon providers

Oregon providers

Internal Medicine Physician share within Oregon

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

Medicare quality performance — MIPS

MARGOT HERMAN, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
68.4697/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 68.4697/100 vs national avg 83.1

0%100%National avg83%68.5%
MIPS final score (Internal Medicine Physician) — 68.4697/100 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).

MARGOT HERMAN, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 9701 SW BARNES RD, PORTLAND, OR, 97225, with a listed phone of (503) 297-8081. NPI 1225359987 was issued on 06/17/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERMAN 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 683 prescription claims written by this provider, covering 229 Medicare beneficiaries and totaling roughly $503K in drug spend, split 23% brand-name and 77% generic by claim count. 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 68.4697/100 for the 2023 performance year (Quality 65.9263, Cost 38.837), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

9701 SW BARNES RD
PORTLAND, OR 97225

Provider Details

NPI 1225359987
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 06/17/2010

CMS Quality Score (MIPS)

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

68.4697
Final Score
Avg: 83.1
65.9263
Quality
38.837
Cost
85
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARGOT HERMAN, MD 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.

THE OREGON CLINIC, PC
PORTLAND, OR

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 MARGOT HERMAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$121

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

MARGOT HERMAN, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 683 2023 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 2023.

683
Total Claims
$503K
Total Drug Cost
229
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,067
Total Day Supply
26,863
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$463K
Generic Drug Cost
$41K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
0.96
Gender Split
70% female / 30% male

Top Prescribed Drugs (Medicare Part D)

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

What MARGOT HERMAN, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Omeprazole
141
Linzess
Linaclotide
51
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
45
Pantoprazole Sodium
42
Dicyclomine Hcl
34
Esomeprazole Magnesium
29
Ondansetron Odt
Ondansetron
28
Ondansetron Hcl
20
Famotidine
18
Mesalamine
16

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

Internal Medicine Physician Overview

How MARGOT HERMAN, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

MARGOT HERMAN, MD's 683 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Oregon

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

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

Frequently Asked Questions

What is MARGOT HERMAN, MD's specialty?
MARGOT HERMAN, MD specializes in Internal Medicine Physician and practices in PORTLAND, Oregon. Credentials: MD.
How much does MARGOT HERMAN, MD prescribe under Medicare Part D?
In 2023, MARGOT HERMAN, MD wrote 683 Medicare Part D claims totaling $503K in drug costs for 229 beneficiaries.
What is MARGOT HERMAN, MD's Medicare quality score?
MARGOT HERMAN, MD has a CMS MIPS Final Score of 68.4697/100 (Quality: 65.9263, Cost: 38.837). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARGOT HERMAN, MD located?
MARGOT HERMAN, MD is located at 9701 SW BARNES RD, PORTLAND, OR, 97225. Phone: (503) 297-8081.
What is MARGOT HERMAN, MD's NPI number?
MARGOT HERMAN, MD's National Provider Identifier (NPI) is 1225359987, issued on 06/17/2010.
Does MARGOT HERMAN, MD prescribe more brand-name or generic drugs?
MARGOT HERMAN, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $463K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does MARGOT HERMAN, MD prescribe most often?
Based on 2023 Medicare Part D data, MARGOT HERMAN, MD's most frequently prescribed drugs include Omeprazole, Linzess, Sutab. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARGOT HERMAN, MD accept Medicare?
MARGOT HERMAN, MD appears in CMS Medicare data with 683 Part D claims and 229 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARGOT HERMAN, MD's credentials?
MARGOT HERMAN, MD's NPI is 1225359987 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

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