Charles Herman, MD
NPI 1730149626 · Plastic and Reconstructive Surgery Physician · East Stroudsburg, PA
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Herman, MD is a Plastic and Reconstructive Surgery Physician provider in East Stroudsburg, PA (NPI 1730149626).
Provider details
- NPI number
- 1730149626
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD426379 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
348 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 201 | $85 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 76 | $105 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 28 | $53 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 16 | $60 |
| Shaving of Skin Growth of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0.6-1.0 Cm11311 | 15 | $111 |
| Destruction of Skin Growth, 1-14 Growths |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluorouracil | 16 | 16 |
| Cephalexin | 14 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2013-07-11
Frequently asked questions
- What is Charles Herman's NPI number?
- Charles Herman's National Provider Identifier (NPI) is 1730149626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Herman's specialty?
- Charles Herman is listed in the NPPES registry with a primary specialty of Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Herman located?
- Charles Herman's practice location on file with NPPES is 100 Plaza Ct, East Stroudsburg, PA 18301-8258.
- What is Charles Herman's phone number?
- The practice phone number listed in the NPPES registry for Charles Herman is (570) 420-6220.
- Does Charles Herman accept Medicare?
- Charles Herman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Herman's NPI active?
- Yes — Charles Herman's NPI (1730149626) is active in the NPPES registry as of the last update on 2013-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.