MATTHEW JOHN HERRING MD
NPI 1609219658
Orthopaedic Surgery - Orthopaedic Trauma in Des Moines, IA

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
96.76/100
CMS Quality Rating
1301 PENNSYLVANIA AVE STE 213, DES MOINES, IA 50316(515) 224-1414(515) 224-5140 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2025, Dec 7, 2021, Jun 14, 2018 (3 updates tracked since 2018).

About Matthew John Herring Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW JOHN HERRING MD (NPI 1609219658) is an individual orthopaedic trauma provider in Des Moines, Iowa, licensed in Iowa (MD-54603) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of University Of Colorado School Of Medicine, Aurora (2013).

NPPES Registry Identity

NPI1609219658
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameMATTHEW JOHN HERRINGCredential: MD
Location Address1301 PENNSYLVANIA AVE STE 213Des Moines, IA 50316-2365
Mailing Address1301 Pennsylvania AveDes Moines, IA 50316-2350 · (515) 224-1414
Fax(515) 224-5140
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
NPI 1609219658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License Licensed in IA · MD-54603
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
1301 PENNSYLVANIA AVE STE 213, Des Moines, IA 50316

Other Identifiers 1

Medicaid1609219658CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew John Herring Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577867381
PECOS Enrollment IDI20180816000850, I20250514000123
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
195 services192 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
91 services51 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
81 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
70 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost68.97

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%20 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%1,095 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%196 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%501 patients5/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 330 patients
Patients screened: 100% · 330 patients
100%70 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 205 patients
Patients totalRate: 0% · 205 patients
0%205 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) A4595
DME-Other DME · category DE000N
1 supplier11 claims22 services$12.48 avg. paid by Medicare
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
2 suppliers17 claims17 services$93.11 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$114.21 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers26 claims26 services$60.89 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
3 suppliers21 claims21 services$249.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1301 PENNSYLVANIA AVE STE 213
DES MOINES, IA 50316
Orthopaedic Surgery (Orthopaedic Trauma)
1301 PENNSYLVANIA AVE STE 213
DES MOINES, IA 50316
Physician Assistant
1301 PENNSYLVANIA AVE STE 213
DES MOINES, IA 50316
Orthopaedic Surgery
1301 PENNSYLVANIA AVE STE 213
DES MOINES, IA 50316
Physician Assistant
1301 PENNSYLVANIA AVE STE 213
DES MOINES, IA 50316
Physical Therapist
1301 PENNSYLVANIA AVE STE 213
DES MOINES, IA 50316
Physician Assistant
1301 PENNSYLVANIA AVE STE 213
DES MOINES, IA 50316
Registered Nurse (Registered Nurse First Assistant)
1301 PENNSYLVANIA AVE STE 213
DES MOINES, IA 50316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Herring's NPI number?

The NPI number for Matthew Herring is 1609219658. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Matthew Herring located?

Matthew Herring practices at 1301 Pennsylvania Ave Ste 213, Des Moines, IA 50316. The listed phone number is (515) 224-1414.

What is Matthew Herring's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Matthew Herring enrolled in Medicare?

Yes. Matthew Herring is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Herring accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Matthew Herring as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Herring affiliated with any hospitals?

According to CMS data, Matthew Herring is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi.

When was this NPI record last updated?

The NPPES record for Matthew Herring was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.