2026 NPPES data Adult Medicine Physician NPI 1902867351 MD
Verify on CMS →

ROBERT HERMAN, MD

Adult Medicine Physician in GROTON, Connecticut. 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
2K
Medicare Part D claims · 376 beneficiaries · Adult Medicine Physician avg: 3K
MIPS score
83.6341/100
▲ 1 pts above national avg 83.1 · [object Object]
What the federal data reveals: ROBERT HERMAN, MD is a Adult Medicine Physician ([object Object]) practicing in GROTON, Connecticut with a Medicare Part D prescribing footprint of 2K claims across 376 beneficiaries . Their CMS MIPS Final Score of 83.6341/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ROBERT HERMAN, MD reported a CMS MIPS final score of 83.6341 out of 100, above the 83.1 national average, and filed 1,631 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ROBERT 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).

ROBERT HERMAN, MD at a glance

Near national average

NPI registry status

Active

Issued 03/28/2006

NPI 1902867351

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

1,631 42% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

83.6341/100 0.5341000000000093% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Connecticut

How Adult Medicine Physician compares to other specialties among Connecticut providers

Connecticut providers

Adult Medicine Physician share within Connecticut

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

Medicare quality performance — MIPS

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

Near national average
MIPS Final Score
83.6341/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Medicine Physician) — 83.6341/100 vs national avg 83.1

0%100%National avg83%83.6%
MIPS final score (Adult Medicine Physician) — 83.6341/100 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).

ROBERT HERMAN, MD is a Adult Medicine Physician provider practicing in GROTON, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1902867351. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ROBERT HERMAN, MD appears in the CMS NPPES registry as a Adult Medicine Physician provider holding MD credentials at 85 POHEGANUT DR, GROTON, CT, 06340, with a listed phone of (440) 255-4455. NPI 1902867351 was issued on 03/28/2006. 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 1,631 prescription claims written by this provider, covering 376 Medicare beneficiaries and totaling roughly $131K in drug spend. 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 83.6341/100 for the 2023 performance year (Quality 78.0683), compared with the national average of 83.1.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

85 POHEGANUT DR
GROTON, CT 06340

Provider Details

NPI 1902867351
Specialty Adult Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/28/2006

CMS Quality Score (MIPS)

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

83.6341
Final Score
Avg: 83.1
78.0683
Quality
82
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ROBERT 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.

PROHEALTH PHYSICIANS PC
GROTON, CT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,631
Total Claims
$131K
Total Drug Cost
376
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,624
Total Day Supply
104,870
Generic Drug Cost
$30K
Antibiotic Claims
35

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.12
Gender Split
76% female / 24% male
Age Distribution
<65: 44, 65-74: 174, 75-84: 121, 85+: 37

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
105
Levothyroxine Sodium
78
Amlodipine Besylate
73
Hydrochlorothiazide
73
Lisinopril
69
Omeprazole
56
Losartan Potassium
50
Metoprolol Succinate
46
Gabapentin
42
Furosemide
37

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

Adult Medicine Physician Overview

How ROBERT HERMAN, MD fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

ROBERT HERMAN, MD's 1,631 claims are below the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Connecticut

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

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

Frequently Asked Questions

What is ROBERT HERMAN, MD's specialty?
ROBERT HERMAN, MD specializes in Adult Medicine Physician and practices in GROTON, Connecticut. Credentials: MD.
How much does ROBERT HERMAN, MD prescribe under Medicare Part D?
In 2023, ROBERT HERMAN, MD wrote 1,631 Medicare Part D claims totaling $131K in drug costs for 376 beneficiaries.
What is ROBERT HERMAN, MD's Medicare quality score?
ROBERT HERMAN, MD has a CMS MIPS Final Score of 83.6341/100 (Quality: 78.0683). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERT HERMAN, MD located?
ROBERT HERMAN, MD is located at 85 POHEGANUT DR, GROTON, CT, 06340. Phone: (440) 255-4455.
What is ROBERT HERMAN, MD's NPI number?
ROBERT HERMAN, MD's National Provider Identifier (NPI) is 1902867351, issued on 03/28/2006.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does ROBERT HERMAN, MD prescribe most often?
Based on 2023 Medicare Part D data, ROBERT HERMAN, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT HERMAN, MD accept Medicare?
ROBERT HERMAN, MD appears in CMS Medicare data with 1,631 Part D claims and 376 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT HERMAN, MD's credentials?
ROBERT HERMAN, MD's NPI is 1902867351 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