NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1326073651 MD
Verify on CMS → Sheryl Heron, MD
Emergency Medicine Physician in Atlanta, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency 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
64
Medicare Part D claims · 26 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
94.6/100
▲ 11 pts above national avg 83.5 · Exceptional
Industry payments
$14.66
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Sheryl Heron, MD reported a CMS MIPS final score of 94.6/100 - above the 83.5 national average - and filed 64 Medicare Part D claims in 2023.
- 94.6/100
- MIPS score · +11 vs avg
- 64
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥73rd
- pct among measured MIPS (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.
CMS NPPES provider registry desk
NPI 1326073651 · Emergency Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ELITE · RX-TRACE · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1326073651
- ENUM-LEGACY 2006
- TAX-MEGA 64K Emergency Medicine
- MIPS-ELITE 94.6/100
- RX-TRACE 64
- BOOK-LIGHT 1,618 in Georgia
- PHOTO-FINISH Michael Clery · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Heron · this pro…
Heron · this provider
94.6 MIPS pts
- Gerty Jean-Louis…
Gerty Jean-Louis
94.6 MIPS pts
- Michael Clery · …
Michael Clery
94.6 MIPS pts
- Katrina Gipson ·…
Katrina Gipson
94.6 MIPS pts
- Matthew Gittinge…
Matthew Gittinger
94.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Sheryl Heron, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
95 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Sheryl Heron, MD sits
This provider among emergency medicine physician peers
Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sheryl Heron, MD writes more Part D claims than 22% of them and scores higher on MIPS quality than 66% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Sheryl Heron, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sheryl Heron, 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 Sheryl Heron, MD?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
64 82% vs specialty avg
MIPS final score
94.6/100 11.1 pts vs avg
Specialty distribution in Georgia
How Emergency Medicine Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Sheryl Heron, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 94.6/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1326073651 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 07/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.5685
Final Score
Measured-score avg: 83.5
78.4959
Quality
75.5403
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sheryl Heron, 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.
Emory Medical Care Foundation Inc
Atlanta, GA
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 Sheryl Heron, MD. Source: openpaymentsdata.cms.gov.
Total received
$15
Largest payer
Gilead Sciences, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
64
Total Claims
$7K
Total Drug Cost
26
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 138
- Total Day Supply
- 3,724
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 68.0 years
- Avg HCC Risk Score
- 2.11
- Gender Split
- 50% female / 50% male
Emergency Medicine Physician Overview
How Sheryl Heron, MD fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Sheryl Heron, MD's 64 claims are below the specialty average of 352.
Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Heron, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (94.6 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Medicine Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Heron.
One of 1,618 Emergency Medicine Physician providers enrolled in Georgia, 5 are shown here.
Dr. Lindsea Abbott
M.D.
Johns Creek, GA
Dr. Zahraa Abdul Sater
MBBS
Augusta, GA
Dr. Don Abernethy
MD
Commerce, GA
Dr. Hesham Abukhdeir
MD
Decatur, GA
Dr. Jeremy Ackerman
M.D. P.H.D.
Atlanta, GA
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sheryl Heron, MD's specialty? ▼
Sheryl Heron, MD specializes in Emergency Medicine Physician and practices in Atlanta, Georgia. Credentials: MD.
How much does Sheryl Heron, MD prescribe under Medicare Part D? ▼
In 2023, Sheryl Heron, MD wrote 64 Medicare Part D claims totaling $7K in drug costs for 26 beneficiaries.
What is Sheryl Heron, MD's Medicare quality score? ▼
Sheryl Heron, MD has a CMS MIPS Final Score of 94.6/100 (Quality: 78.5, Cost: 75.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sheryl Heron, MD located? ▼
Sheryl Heron, MD is located at 69 JESSE HILL JR DR SE, Atlanta, GA, 30303. Phone: (404) 616-6673.
What is Sheryl Heron, MD's NPI number? ▼
Sheryl Heron, MD's National Provider Identifier (NPI) is 1326073651, issued on 07/12/2006.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
Does Sheryl Heron, MD accept Medicare? ▼
Sheryl Heron, MD appears in CMS Medicare data with 64 Part D claims and 26 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sheryl Heron, MD's credentials? ▼
Sheryl Heron, MD's NPI is 1326073651 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 (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
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 May 2026.