Dr. James Roy Herde, MD

  • Tucson, AZ
  • General surgeon
NPI1316940067PAC ID4688688005
Medicare services, 2024
247
Medicare patients, 2024
63
Part D claims, 2024
14
MIPS score, 2024
55
Hospital affiliations
2
Practice address
1400 North Wilmot Road, Tucson, AZ 85712
Practice phone
Call (520) 222-8268
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

El Dorado Springs Behavioral Health

Hospital · Tucson, Arizona

See all 4 affiliations

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Dr. James Roy Herde is a general surgeon in Tucson, Arizona

Dr. Herde practices at El Dorado Springs Behavioral Health in Tucson, Arizona, part of Lifepoint Health.

Dr. Herde's NPI, 1316940067, was assigned on May 24, 2005. Dr. Herde graduated from Georgetown University School of Medicine in 1980. Dr. Herde holds Arizona license 15572.

NPI and contact details
Medicare PAC ID
4688688005
NPI enumeration date
May 24, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(520) 222-8268
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
72
Medical school graduation
1980

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. James Roy Herde practices at El Dorado Springs Behavioral Health in Tucson, Arizona

Dr. Herde's primary practice is El Dorado Springs Behavioral Health, at 1400 North Wilmot Road, Tucson, AZ 85712 in Pima County. The practice phone is (520) 222-8268.

Source: Dmand AI Affiliation Data

Dr. James Roy Herde is affiliated with 3 sites of care and 1 medical group

Dr. Herde's primary practice is El Dorado Springs Behavioral Health in Tucson, Arizona, part of Lifepoint Health. Dr. Herde is also affiliated with Tucson Medical Center. The medical group on file is Tucson Independent Physicians and Surgeons. Dmand AI also links Dr. Herde to 1 more group practice or clinic, named with a free account.

See all 4 affiliations for Dr. Herde

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. James Roy Herde's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Herde practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
El Dorado Springs Behavioral HealthAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. James Roy Herde is one of 617 general surgeons in Arizona

Surgery is Dr. Herde's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Herde is licensed in Arizona.

Specialties and state licenses

  • Surgery, ArizonaPrimaryLicense 15572 · taxonomy 208600000X

General surgeons near Dr. Herde

Counts of general surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. James Roy Herde billed Medicare for 247 services in 2024

CMS data shows 247 Medicare services from Dr. Herde across 5 procedure codes in 2024, for 63 Medicare patients. Medicare paid $12,391 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024247
Medicare patients63
Paid by Medicare$12,391
Procedure codes5

Dr. Herde's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Surgery
2023: 1512024: 13312%
Tests and treatments
2023: 852024: 7116%
Office and hospital visits
2023: 792024: 4346%

Dr. Herde compared with the Arizona median for general surgeons, 2024

  • Dr. Herde
  • Arizona median
Medicare services
247vs 16252% above
Medicare patients
63vs 11646% below
Part D claims
28vs 3110% below

Medians across 545 general surgeons in Arizona with Dmand AI profiles that report each measure.

Dr. Herde's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Herde

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. James Roy Herde treated 63 Medicare patients in 2024, average age 79

CMS counts 63 Medicare patients who saw Dr. Herde in 2024. The largest group is 75 to 84, with 29 patients. 75% of them have high blood pressure, and 71% have high cholesterol. Their average risk score is 2.50, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Herde's median patient age at 70, with 37% women.

Medicare patients, 202463
Average age79
Average risk score2.50

Dr. Herde's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Herde's Medicare patients by sex, 2024

  • Women2743%
  • Men3657%

Chronic conditions among Dr. Herde's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol71%
  3. Arthritis65%
  4. Atrial fibrillation44%
  5. Chronic kidney disease43%
  6. Ischemic heart disease43%
  7. Cancer41%
  8. COPD40%

Share of Medicare patients with each condition. A patient can have several.

Dr. Herde's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women37%
  • Men63%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. James Roy Herde wrote 14 Medicare Part D claims in 2024

In 2024, Dr. Herde wrote 14 Medicare Part D claims. 93% of them were for generic drugs. They cover 2 drugs, with $256 in total drug cost. In 2021, CMS named 24 claims across 1 drug.

Part D claims, 202414
Drugs named by CMS2
Total drug cost$256

Dr. Herde's Part D claims by kind of drug, 2024

  • Generic13 claims93%
  • Brand-name and other1 claims7%

Dr. Herde's most prescribed drugs by claims, 2022

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Herde's Part D claims, 2024

  • Antibiotics93%13 of 14 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2021 to 2022

  • 2021
  • 2022
Claims for drugs CMS names
2021: 242022: 2817%

Drugs named by CMS: 2 in 2022, 1 in 2021.

See all prescribing by Dr. Herde

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. James Roy Herde scored 55 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 55 out of 100 for Dr. Herde for performance year 2024, reported as part of a group. Dr. Herde accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 264 procedures of removal of tissue by Dr. Herde, more than 93% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Herde's MIPS scores, performance year 2024

  • 55of 100Final score
  • 55.3of 100Quality
  • 0of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 77of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Herde ranks in Medicare procedure volume

Removal of tissue
93rd percentile264 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of nail tissue: 1 to 10 procedures (CMS shows small counts as a range)

Removal or shaving of skin growth: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. James Roy Herde received $440 in industry payments from 2016 to 2025

CMS Open Payments shows 22 general payments to Dr. Herde from 10 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Organogenesis Inc. paid the most, $184.

General payments to Dr. Herde by program year, 2016 to 2025

Companies that paid Dr. Herde the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Herde

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. James Roy Herde graduated from Georgetown University School of Medicine

Dr. Herde graduated from Georgetown University School of Medicine in 1980.

  1. Medical schoolGeorgetown University School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. James Roy Herde's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. James Roy Herde

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. James Roy Herde's NPI number?

Dr. James Roy Herde's NPI number is 1316940067. It was assigned on May 24, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. James Roy Herde?

Dr. James Roy Herde is a general surgeon in Tucson, Arizona. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).

Where does Dr. James Roy Herde practice?

Dr. Herde practices at 1400 North Wilmot Road, Tucson, AZ 85712. Dr. Herde's primary practice is El Dorado Springs Behavioral Health in Tucson, Arizona, part of Lifepoint Health. Dmand AI also links Dr. Herde to 1 group practice or clinic.

What is Dr. James Roy Herde's office phone number?

The practice phone on file for Dr. Herde is (520) 222-8268.

What is Dr. James Roy Herde's medical license number?

Dr. Herde holds Arizona license 15572.

Which hospitals is Dr. James Roy Herde affiliated with?

Dr. Herde practices at El Dorado Springs Behavioral Health in Tucson, Arizona. Dr. Herde is also affiliated with Tucson Medical Center.

What medical group is Dr. James Roy Herde part of?

Dr. Herde is linked to Tucson Independent Physicians and Surgeons.

Does Dr. James Roy Herde accept Medicare?

Yes. CMS data shows Dr. Herde billed Medicare for 247 services in 2024, and Dr. Herde accepts Medicare assignment.

What is Dr. James Roy Herde's MIPS score?

Dr. Herde's MIPS final score for performance year 2024 is 55 out of 100, reported as part of a group.

How many Medicare patients does Dr. James Roy Herde see?

CMS counts 63 Medicare patients who saw Dr. Herde in 2024, with an average age of 79.

Show 5 more questionsShow fewer questions

What services does Dr. James Roy Herde bill to Medicare?

In 2024, Dr. Herde's most billed Medicare services were surgery: skin and soft tissue (11042), special service (99183) and office visit, established patient (99212).

Where did Dr. James Roy Herde go to medical school?

Dr. Herde graduated from Georgetown University School of Medicine in 1980.

What drugs does Dr. James Roy Herde prescribe most?

In 2022 Medicare Part D data, Dr. Herde's most prescribed drugs by claims were Doxycycline Monohydrate and Sulfamethoxazole-Trimethoprim.

Has Dr. James Roy Herde received payments from drug or device companies?

CMS Open Payments shows $440 in general payments to Dr. Herde from 10 companies from 2016 to 2025. The largest total came from Organogenesis Inc.

How long has Dr. James Roy Herde been practicing?

Dr. Herde graduated from medical school in 1980, 46 years ago.

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