Dr. Jeffrey A. Herold, MD
- Medicare services, 2024
- 480
- Medicare patients, 2024
- 157
- Part D claims, 2024
- 190
- MIPS score, 2024
- 95
- Hospital affiliations
- 2
- Practice address
- 3100 Superior Ave, Sheboygan, WI 53081
- Practice phone
- Call (920) 459-8300
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Herold's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Jeffrey A. Herold is a plastic surgeon in Sheboygan, Wisconsin
Dr. Herold practices at HSHS St. Nicholas Hospital in Sheboygan, Wisconsin, part of Hospital Sisters of St. Francis.
Dr. Herold's NPI, 1932394962, was assigned on September 12, 2007. Dr. Herold graduated from University of Virginia School of Medicine in 1990. Dr. Herold holds Wisconsin license 39578.
- NPI
- 1932394962NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7517924764
- NPI enumeration date
- September 12, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (920) 459-8300
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 62
- Medical school graduation
- 1990
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Jeffrey A. Herold practices at HSHS St. Nicholas Hospital in Sheboygan, Wisconsin
Dr. Herold's primary practice is HSHS St. Nicholas Hospital, at 3100 Superior Ave, Sheboygan, WI 53081 in Sheboygan County. The practice phone is (920) 459-8300.
- HSHS St. Nicholas Hospital3100 Superior Ave, Sheboygan, WI 53081 · Sheboygan CountyPhone(920) 459-8300
Source: Dmand AI Affiliation Data
Dr. Jeffrey A. Herold is affiliated with 4 sites of care and 1 medical group
Dr. Herold's primary practice is HSHS St. Nicholas Hospital in Sheboygan, Wisconsin, part of Hospital Sisters of St. Francis. Dr. Herold is also affiliated with HSHS St. Vincent Hospital. The medical group on file is Prevea Health. Dmand AI also links Dr. Herold to 1 more physician office and 1 group practice or clinic, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Jeffrey A. Herold's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Herold practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| HSHS St. Nicholas Hospital | Available with a free account |
| +3 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Hospital Sisters of St. Francis and 6.2K+ hospitals, with verified contacts in the same login.
Dr. Jeffrey A. Herold is one of 81 plastic surgeons in Wisconsin
Plastic surgery is Dr. Herold's primary specialty in the NPI Registry, under taxonomy code 208200000X. Dr. Herold is licensed in Wisconsin.
Specialties and state licenses
- Plastic surgery, WisconsinPrimary
Plastic surgeons near Dr. Herold
Counts of plastic 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. Jeffrey A. Herold billed Medicare for 480 services in 2024
CMS data shows 480 Medicare services from Dr. Herold across 8 procedure codes in 2024, for 157 Medicare patients. Medicare paid $27,229 for them.
Dr. Herold's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1682024: 18410%
- Surgery
- 2023: 1052024: 15043%
- Drugs given in the office
- 2023: 1062024: 14638%
Where Dr. Herold's Medicare services took place, 2024
- In an office45094%
- In a facility306%
Dr. Herold compared with the Wisconsin median for plastic surgeons, 2024
- Dr. Herold
- Wisconsin median
- Medicare services
- 480vs 4510.7 times
- Medicare patients
- 157vs 642.5 times
- Part D claims
- 145vs 226.6 times
Medians across 72 plastic surgeons in Wisconsin with Dmand AI profiles that report each measure.
Dr. Herold'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.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Herold and other plastic surgeons in Wisconsin.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Jeffrey A. Herold treated 157 Medicare patients in 2024, average age 72
CMS counts 157 Medicare patients who saw Dr. Herold in 2024. The largest group is 65 to 74, with 91 patients. 75% of them have high cholesterol, and 69% have high blood pressure. 11% are also on Medicaid. Their average risk score is 0.96, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Herold's median patient age at 67, with 63% women.
Dr. Herold's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Herold's Medicare patients by sex, 2024
- Women9158%
- Men6642%
Chronic conditions among Dr. Herold's Medicare patients, 2024
- High cholesterol75%
- High blood pressure69%
- Arthritis55%
- Chronic kidney disease28%
- Diabetes27%
- Ischemic heart disease27%
- Mood disorders23%
- Anxiety22%
Share of Medicare patients with each condition. A patient can have several.
Dr. Herold's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 67
Patient panel by sex, all payers
- Women63%
- Men37%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Jeffrey A. Herold wrote 190 Medicare Part D claims in 2024
In 2024, Dr. Herold wrote 190 Medicare Part D claims for 125 patients. 100% of them were for generic drugs. CMS names the drug for 145 of them, across 3 drugs with 11 or more claims each, at $599 in total drug cost. In 2023, CMS named 127 claims across 2 drugs.
Dr. Herold's most prescribed drugs by claims, 2024
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. Herold's Part D claims, 2024
- Opioids51%97 of 190 claims
- Antibiotics40%76 of 190 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, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1272024: 14514%
Drugs named by CMS: 3 in 2024, 2 in 2023.
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. Jeffrey A. Herold scored 95 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 95 out of 100 for Dr. Herold for performance year 2024, reported through an alternative payment model (APM). Dr. Herold accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Herold's MIPS scores, performance year 2024
- 95of 100Final score
- 86of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)
Removal of nail tissue: 1 to 10 procedures (CMS shows small counts as a range)
Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)
Removal of 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)
Skin biopsy: 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. Jeffrey A. Herold received $49 in industry payments from 2019 to 2025
CMS Open Payments shows 3 general payments to Dr. Herold from 3 drug and device companies from 2019 to 2025. Food and beverage make up the largest share, 100% of the total. Sonex Health, Inc. paid the most, $21.
General payments to Dr. Herold by program year, 2019 to 2025
Companies that paid Dr. Herold the most, 2019 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Jeffrey A. Herold graduated from University of Virginia School of Medicine
Dr. Herold graduated from University of Virginia School of Medicine in 1990.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Jeffrey A. Herold's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors 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 payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Jeffrey A. Herold
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. Jeffrey A. Herold's NPI number?
Dr. Jeffrey A. Herold's NPI number is 1932394962. It was assigned on September 12, 2007, and it is active in the NPI Registry.
What kind of doctor is Dr. Jeffrey A. Herold?
Dr. Jeffrey A. Herold is a plastic surgeon in Sheboygan, Wisconsin. The primary specialty in the NPI Registry is Plastic Surgery Physician (taxonomy code 208200000X).
Where does Dr. Jeffrey A. Herold practice?
Dr. Herold practices at 3100 Superior Ave, Sheboygan, WI 53081. Dr. Herold's primary practice is HSHS St. Nicholas Hospital in Sheboygan, Wisconsin, part of Hospital Sisters of St. Francis. Dmand AI also links Dr. Herold to 1 physician office and 1 group practice or clinic.
What is Dr. Jeffrey A. Herold's office phone number?
The practice phone on file for Dr. Herold is (920) 459-8300.
What is Dr. Jeffrey A. Herold's medical license number?
Dr. Herold holds Wisconsin license 39578.
Which hospitals is Dr. Jeffrey A. Herold affiliated with?
Dr. Herold practices at HSHS St. Nicholas Hospital in Sheboygan, Wisconsin. Dr. Herold is also affiliated with HSHS St. Vincent Hospital.
What medical group is Dr. Jeffrey A. Herold part of?
Dr. Herold is linked to Prevea Health.
Does Dr. Jeffrey A. Herold accept Medicare?
Yes. CMS data shows Dr. Herold billed Medicare for 480 services in 2024, and Dr. Herold accepts Medicare assignment.
What is Dr. Jeffrey A. Herold's MIPS score?
Dr. Herold's MIPS final score for performance year 2024 is 95 out of 100, reported through an alternative payment model (APM).
How many Medicare patients does Dr. Jeffrey A. Herold see?
CMS counts 157 Medicare patients who saw Dr. Herold in 2024, with an average age of 72.
Show 5 more questionsShow fewer questions
What services does Dr. Jeffrey A. Herold bill to Medicare?
In 2024, Dr. Herold's most billed Medicare services were injected or infused drug (J3301), surgery: bones and joints (20550) and office visit, new patient (99203).
Where did Dr. Jeffrey A. Herold go to medical school?
Dr. Herold graduated from University of Virginia School of Medicine in 1990.
What drugs does Dr. Jeffrey A. Herold prescribe most?
In 2024 Medicare Part D data, Dr. Herold's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Doxycycline Hyclate and Sulfamethoxazole-Trimethoprim.
Has Dr. Jeffrey A. Herold received payments from drug or device companies?
CMS Open Payments shows $49 in general payments to Dr. Herold from 3 companies from 2019 to 2025. The largest total came from Sonex Health, Inc.
How long has Dr. Jeffrey A. Herold been practicing?
Dr. Herold graduated from medical school in 1990, 36 years ago.
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