NPPES file of Aug 9, 2026

Matthew R. Herald, M.D.

Psychiatry Physician · Waukesha, WI

Matthew R. Herald, M.D. is a psychiatry physician with a practice address in Waukesha, Wisconsin, and NPI 1275737199, issued on Jun 13, 2007. Check the license (Wisconsin 52333, 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 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1275737199
Name
Matthew R. Herald
Credential
M.D.
Primary taxonomy
Psychiatry Physician 2084P0800X
License number
52333 WI
Self-reported in NPPES; status is on the state search
Practice location
721 American Ave Ste 501, Waukesha, WI 53188
Phone
(262) 928-7528
Enumerated
Jun 13, 2007
Record last updated
Oct 9, 2023
Fax
(262) 928-5096
Medicare enrollment
Enrolled (PECOS I20110809000328); accepts Medicare assignment
Medical or professional school
University Of Texas Medical School At San Antonio, 2007
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.
Download card Updates feed

Also registered at 721 American Ave Ste 501

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

  1. Kathleen Ball, LCSWClinical Social Worker1275018228
  2. Daniel Bizjak, BS, CSAC, ICSAddiction (Substance Use Disorder) Counselor1629234729
  3. Joanna Buck, MDPsychiatry Physician1912403700
  4. Tracey Cornella-Carlson, MDChild & Adolescent Psychiatry Physician1730134412
  5. Amanda Dowling, PCITProfessional Counselor1013266980
  6. Lisa DrewPsychiatric/Mental Health Nurse Practitioner1134530769

Verify Matthew R. Herald in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 52333
    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.

Is this page about you? You can ask us to correct, restrict or remove it: how.

2.4 times the Medicare Part D claims of the average psychiatry physician in 2024

2,354 Medicare Part D claims for 266 beneficiaries, against an average of 1,000 among the 35,054 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims.

  1. Matthew Herald2,354
  2. Specialty average1,000

Most prescribed

  1. Quetiapine Fumarate198 claims
  2. Duloxetine Hcl170 claims
  3. Clonazepam167 claims
  4. Trazodone Hcl110 claims
  5. Lorazepam109 claims
  6. Sertraline Hcl96 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.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Prohealth Medical Group IncWaukesha, WI

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

Matthew R. Herald among 929 psychiatry physician records in Wisconsin

Matthew R. Herald, M.D. is one of 929 psychiatry physician records with a practice address in Wisconsin. 68% 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 50% of them.

  • NPI issued2007 · 50% of these records are older, 41% newer
  • In a Medicare fileYes · 68% of these records are
  • In the CMS Doctors and Clinicians fileYes · 47% of these records are
  • Graduated2007 · median 2005 among the 439 with a school on file
  • Record last updated2023 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084P0800X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatry Physician providers in Wisconsin

There are 929 psychiatry physician records in Wisconsin.

The 8 psychiatry physician records with the nearest ZIP codes

  1. David Dzubinski, MDWaukesha, WI 531881568400182
  2. Shara Grover, MDWaukesha, WI 531881629043765
  3. David Holloway, M.D.Waukesha, WI 531881821195777
  4. Gobind Kang-Chahal, MDWaukesha, WI 531881265533392
  5. Judith Kisicki, M.D.Waukesha, WI 531881306819925
  6. Raymond Kloss, M.D.Waukesha, WI 531881851365530
  7. Cary Kohlenberg, MDWaukesha, WI 531881427134089
  8. Rada Malinovic, MDWaukesha, WI 531881760531701

Common questions

What is Matthew R. Herald, M.D.'s NPI number?

Matthew R. Herald, M.D.'s National Provider Identifier (NPI) is 1275737199, issued on Jun 13, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Matthew R. Herald, M.D. located?

The NPPES record lists a practice address at 721 American Ave Ste 501, Waukesha, WI, 53188. Phone: (262) 928-7528. Providers update this record themselves, so call before visiting.

How can I verify Matthew R. Herald, M.D.'s license?

NPPES lists Wisconsin license number 52333, 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 Matthew R. Herald, M.D. prescribe under Medicare Part D?

In 2024, Matthew R. Herald, M.D. had 2,354 Medicare Part D claims for 266 beneficiaries; the average among psychiatry physician prescribers was 1,000. Part D covers Medicare prescriptions only.

What is Matthew R. Herald, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

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.