2026 NPPES data Specialist NPI 1811983729 M.D.
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PATRICK HERGENROEDER, M.D.

Specialist in CHAGRIN FALLS, Ohio. 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
679
Medicare Part D claims · 219 beneficiaries · Specialist avg: 1K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
32.9582/100
▼ 50 pts below national avg 83.1 · [object Object]
Industry payments
$16.58
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PATRICK HERGENROEDER, M.D. reported a CMS MIPS final score of 32.9582/100 — below the 83.1 national average — and filed 679 Medicare Part D claims in 2023.

32.9582/100
MIPS score · -50 vs avg
679
Part D claims, 2023
98%
generic prescribing
$16.58
industry payments (Sunshine Act)

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.

PATRICK HERGENROEDER, 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

33 3rd percentile higher than 3% 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%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 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

What does the federal data show about PATRICK HERGENROEDER, M.D.?

Below national average

NPI registry status

Active

Issued 09/26/2005

NPI 1811983729

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

679 54% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

32.9582/100 50.141799999999996% pts

Below average band

vs 83.1 national avg

Specialty distribution in Ohio

How Specialist compares to other specialties among Ohio providers

Ohio providers

Specialist share within Ohio

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Ohio

Medicare quality performance — MIPS

PATRICK HERGENROEDER, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
32.9582/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 32.9582/100 vs national avg 83.1

0%100%National avg83%33%
MIPS final score (Specialist) — 32.9582/100 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).

PATRICK HERGENROEDER, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 34 W WASHINGTON ST, CHAGRIN FALLS, OH, 44022, with a listed phone of (440) 247-2644. NPI 1811983729 was issued on 09/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERGENROEDER 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 679 prescription claims written by this provider, covering 219 Medicare beneficiaries and totaling roughly $13K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 32.5%. 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 32.9582/100 for the 2023 performance year (Quality 7.3956, Cost 100), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

34 W WASHINGTON ST
CHAGRIN FALLS, OH 44022

Provider Details

NPI 1811983729
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 09/26/2005

CMS Quality Score (MIPS)

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

32.9582
Final Score
Avg: 83.1
7.3956
Quality
100
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where PATRICK HERGENROEDER, 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.

PATRICK T HERGENROEDER MD INC
CHAGRIN FALLS, OH

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 PATRICK HERGENROEDER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Zimmer Biomet Holdings, 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.

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to PATRICK HERGENROEDER, M.D.. To verify PATRICK HERGENROEDER, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

PATRICK HERGENROEDER, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 679 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.

679
Total Claims
$13K
Total Drug Cost
219
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
750
Total Day Supply
11,167
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$6K
Generic Drug Cost
$7K
Opioid Claims
221 (32.5% rate)
Antibiotic Claims
131

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.00
Gender Split
49% female / 51% male
Age Distribution
<65: 11, 65-74: 113, 75-84: 74, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What PATRICK HERGENROEDER, M.D. 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
Diclofenac Sodium
119
Cephalexin
115
Acetaminophen-Codeine
Acetaminophen With Codeine
80
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
78
Dexamethasone
70
Tramadol Hcl
46
Methylprednisolone
34
Ibuprofen
33
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
17
Ibu
Ibuprofen
14

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

Specialist Overview

How PATRICK HERGENROEDER, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

PATRICK HERGENROEDER, M.D.'s 679 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Ohio

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is PATRICK HERGENROEDER, M.D.'s specialty?
PATRICK HERGENROEDER, M.D. specializes in Specialist and practices in CHAGRIN FALLS, Ohio. Credentials: M.D..
How much does PATRICK HERGENROEDER, M.D. prescribe under Medicare Part D?
In 2023, PATRICK HERGENROEDER, M.D. wrote 679 Medicare Part D claims totaling $13K in drug costs for 219 beneficiaries.
What is PATRICK HERGENROEDER, M.D.'s Medicare quality score?
PATRICK HERGENROEDER, M.D. has a CMS MIPS Final Score of 32.9582/100 (Quality: 7.3956, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PATRICK HERGENROEDER, M.D. located?
PATRICK HERGENROEDER, M.D. is located at 34 W WASHINGTON ST, CHAGRIN FALLS, OH, 44022. Phone: (440) 247-2644.
What is PATRICK HERGENROEDER, M.D.'s NPI number?
PATRICK HERGENROEDER, M.D.'s National Provider Identifier (NPI) is 1811983729, issued on 09/26/2005.
Does PATRICK HERGENROEDER, M.D. prescribe more brand-name or generic drugs?
PATRICK HERGENROEDER, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $6K in brand drug costs.
Does PATRICK HERGENROEDER, M.D. prescribe opioids?
Yes, PATRICK HERGENROEDER, M.D. had 221 opioid claims in 2023 with an opioid prescribing rate of 32.5%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does PATRICK HERGENROEDER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PATRICK HERGENROEDER, M.D.'s most frequently prescribed drugs include Diclofenac Sodium, Cephalexin, Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PATRICK HERGENROEDER, M.D. accept Medicare?
PATRICK HERGENROEDER, M.D. appears in CMS Medicare data with 679 Part D claims and 219 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PATRICK HERGENROEDER, M.D.'s credentials?
PATRICK HERGENROEDER, M.D.'s NPI is 1811983729 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