2026 NPPES data Otolaryngology/Facial Plastic Surgery Physician NPI 1356333272 MD
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THOMAS HERENDEEN, MD

Otolaryngology/Facial Plastic Surgery Physician in FORT WAYNE, Indiana. 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
467
Medicare Part D claims · 223 beneficiaries · Otolaryngology/Facial Plastic Surgery Physician avg: 561
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.2873/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$570.78
16 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THOMAS HERENDEEN, MD reported a CMS MIPS final score of 87.2873/100 — above the 83.1 national average — and filed 467 Medicare Part D claims in 2023.

87.2873/100
MIPS score · +4 vs avg
467
Part D claims, 2023
95%
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.

THOMAS HERENDEEN, MD's MIPS score vs every scored U.S. clinician

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

87 Top 46% higher than 54% 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%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

THOMAS HERENDEEN, 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 THOMAS HERENDEEN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/17/2005

NPI 1356333272

Primary specialty

Otolaryngology/Facial Plastic Surgery Physician

Niche

744 US NPIs in this specialty

Medicare Part D claims

467 17% vs specialty avg

2023 prescription claims

Specialty avg: 561

MIPS final score

87.2873/100 4.187300000000008% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Indiana

How Otolaryngology/Facial Plastic Surgery Physician compares to other specialties among Indiana providers

Indiana providers

Otolaryngology/Facial Plastic Surgery Physician share within Indiana

1. Otolaryngology/Facial Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology/Facial Plastic Surgery Physician share within Indiana

Medicare quality performance — MIPS

THOMAS HERENDEEN, MD's 2023 MIPS final score plotted against the Otolaryngology/Facial Plastic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
87.2873/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology/Facial Plastic Surgery Physician) — 87.2873/100 vs national avg 83.1

0%100%National avg83%87.3%
MIPS final score (Otolaryngology/Facial Plastic Surgery Physician) — 87.2873/100 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).

THOMAS HERENDEEN, MD is a Otolaryngology/Facial Plastic Surgery Physician provider practicing in FORT WAYNE, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1356333272. 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.

THOMAS HERENDEEN, MD appears in the CMS NPPES registry as a Otolaryngology/Facial Plastic Surgery Physician provider holding MD credentials at 10021 DUPONT CIRCLE CT, FORT WAYNE, IN, 46825, with a listed phone of (260) 426-8117. NPI 1356333272 was issued on 08/17/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERENDEEN 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 467 prescription claims written by this provider, covering 223 Medicare beneficiaries and totaling roughly $10K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 16.5%. 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 87.2873/100 for the 2023 performance year (Quality 79.6133), compared with the national average of 83.1.

Otolaryngology/Facial Plastic Surgery Physician is a narrow specialty nationwide, with 744 enrolled providers across 53 states and an average of 561 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

10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825

Provider Details

NPI 1356333272
Specialty Otolaryngology/Facial Plastic Surgery Physician
Credentials MD
Gender Male
NPI Issued 08/17/2005

CMS Quality Score (MIPS)

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

87.2873
Final Score
Avg: 83.1
79.6133
Quality
95
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where THOMAS HERENDEEN, 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.

EAR NOSE AND THROAT ASSOCIATES PC
FORT WAYNE, IN

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 THOMAS HERENDEEN, MD. Source: openpaymentsdata.cms.gov.

Total received

$571

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 · Generic-heavy

THOMAS HERENDEEN, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 467 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.

467
Total Claims
$10K
Total Drug Cost
223
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
597
Total Day Supply
11,469
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$2K
Generic Drug Cost
$8K
Opioid Claims
77 (16.5% rate)
Antibiotic Claims
68

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.25
Gender Split
54% female / 46% male
Age Distribution
<65: 28, 65-74: 97, 75-84: 66, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
76
Ipratropium Bromide
50
Meloxicam
43
Cephalexin
32
Methylprednisolone
32
Omeprazole
29
Levothyroxine Sodium
27
Mupirocin
23
Famotidine
17
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
16

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

Otolaryngology/Facial Plastic Surgery Physician Overview

How THOMAS HERENDEEN, MD fits within the Otolaryngology/Facial Plastic Surgery Physician landscape nationally.

744
Otolaryngology/Facial Plastic Surgery Physician Providers in US
53
States with Otolaryngology/Facial Plastic Surgery Physician
561
Avg Claims per Provider

THOMAS HERENDEEN, MD's 467 claims are below the specialty average of 561.

Nearby Otolaryngology/Facial Plastic Surgery Physician Providers in Indiana

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

Compare Otolaryngology/Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS HERENDEEN, MD's specialty?
THOMAS HERENDEEN, MD specializes in Otolaryngology/Facial Plastic Surgery Physician and practices in FORT WAYNE, Indiana. Credentials: MD.
How much does THOMAS HERENDEEN, MD prescribe under Medicare Part D?
In 2023, THOMAS HERENDEEN, MD wrote 467 Medicare Part D claims totaling $10K in drug costs for 223 beneficiaries.
What is THOMAS HERENDEEN, MD's Medicare quality score?
THOMAS HERENDEEN, MD has a CMS MIPS Final Score of 87.2873/100 (Quality: 79.6133). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS HERENDEEN, MD located?
THOMAS HERENDEEN, MD is located at 10021 DUPONT CIRCLE CT, FORT WAYNE, IN, 46825. Phone: (260) 426-8117.
What is THOMAS HERENDEEN, MD's NPI number?
THOMAS HERENDEEN, MD's National Provider Identifier (NPI) is 1356333272, issued on 08/17/2005.
Does THOMAS HERENDEEN, MD prescribe more brand-name or generic drugs?
THOMAS HERENDEEN, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $2K in brand drug costs.
Does THOMAS HERENDEEN, MD prescribe opioids?
Yes, THOMAS HERENDEEN, MD had 77 opioid claims in 2023 with an opioid prescribing rate of 16.5%.
How many Otolaryngology/Facial Plastic Surgery Physician providers are there in the US?
There are 744 Otolaryngology/Facial Plastic Surgery Physician providers across 53 states in the US. The average Otolaryngology/Facial Plastic Surgery Physician provider writes 561 Medicare Part D claims per year.
What drugs does THOMAS HERENDEEN, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS HERENDEEN, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ipratropium Bromide, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS HERENDEEN, MD accept Medicare?
THOMAS HERENDEEN, MD appears in CMS Medicare data with 467 Part D claims and 223 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS HERENDEEN, MD's credentials?
THOMAS HERENDEEN, MD's NPI is 1356333272 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