Douglas Herbek, MD
NPI 1861492803 · Family Medicine Physician · Grand Island, NE
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Herbek, MD is a Family Medicine Physician provider in Grand Island, NE (NPI 1861492803).
Provider details
- NPI number
- 1861492803
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 21677 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,404 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 327 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test85027 | 306 | $6 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 303 | $10 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 243 | $13 |
| Hemoglobin A1c Level83036 | 234 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 216 | $76 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 101 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 323 | 85 |
| Omeprazole | 246 | 70 |
| Levothyroxine Sodium | 199 | 47 |
| Simvastatin | 189 | 48 |
| Celecoxib | 168 | 47 |
| Losartan Potassium | 131 | 32 |
| Lisinopril/Hydrochlorothiazidebrand: Lisinopril-Hydrochlorothiazide | 120 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$147 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-29
- Last updated
- 2023-11-10
- Certified
- 2023-11-10
Frequently asked questions
- What is Douglas Herbek's NPI number?
- Douglas Herbek's National Provider Identifier (NPI) is 1861492803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Herbek's specialty?
- Douglas Herbek is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Herbek located?
- Douglas Herbek's practice location on file with NPPES is 2444 W Faidley Ave, Grand Island, NE 68803-4327.
- What is Douglas Herbek's phone number?
- The practice phone number listed in the NPPES registry for Douglas Herbek is (308) 382-1100.
- Does Douglas Herbek accept Medicare?
- Douglas Herbek is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Herbek's NPI active?
- Yes — Douglas Herbek's NPI (1861492803) is active in the NPPES registry as of the last update on 2023-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.