Matthew Herald, M.D.
NPI 1275737199 · Psychiatry Physician · Waukesha, WI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Herald, M.D. is a Psychiatry Physician provider in Waukesha, WI (NPI 1275737199).
Provider details
- NPI number
- 1275737199
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 52333 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
165 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 120 | $125 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 45 | $191 |
Typical Medicare-allowed amounts for these services range $125–$191 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 52 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 198 | 46 |
| Duloxetine Hcl | 170 | 39 |
| Clonazepam | 167 | 29 |
| Trazodone Hcl | 110 | 33 |
| Lorazepam | 109 | 34 |
| Sertraline Hcl | 96 | 24 |
| Buspirone Hcl | 87 | 26 |
Practice location
Mailing address
Additional practice locations (1)
- 36500 Aurora DrSummit, WI 53066-4899Phone: (414) 454-6779Fax: (608) 890-7127
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2023-10-09
- Certified
- 2023-10-09
Frequently asked questions
- What is Matthew Herald's NPI number?
- Matthew Herald's National Provider Identifier (NPI) is 1275737199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Herald's specialty?
- Matthew Herald is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Herald located?
- Matthew Herald's practice location on file with NPPES is 721 American Ave Ste 501, Waukesha, WI 53188-5071.
- What is Matthew Herald's phone number?
- The practice phone number listed in the NPPES registry for Matthew Herald is (262) 928-7528.
- Does Matthew Herald accept Medicare?
- Matthew Herald is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Herald's NPI active?
- Yes — Matthew Herald's NPI (1275737199) is active in the NPPES registry as of the last update on 2023-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.