CHARLES K HERMAN MD
NPI 1730149626
Surgery - Plastic and Reconstructive Surgery in East Stroudsburg, PA

Q: What is Charles Herman's NPI number?

The NPI number for Charles Herman is 1730149626. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Charles Herman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Charles Herman was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.

Active since March 24, 2006PECOS Enrolled

79.45/100

CMS Quality Rating

100 PLAZA CT, SUITE C, EAST STROUDSBURG, PA 18301(570) 420-6220(570) 420-6221 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Charles K Herman Md NPPES

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

CHARLES K HERMAN MD (NPI 1730149626) is an individual plastic and reconstructive surgery provider in East Stroudsburg, Pennsylvania, licensed in New York (223209) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2000).

NPPES Registry Identity

NPI1730149626

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameCHARLES K HERMANCredential: MD

Location Address100 PLAZA CT, SUITE CEast Stroudsburg, PA 18301-8258

Mailing Address206 E Brown St, Pocono Healthcare Management - Professional Bldg.East Stroudsburg, PA 18301-3006 · (570) 420-4969 · Fax (570) 476-3754

Phone(570) 420-6220

Fax(570) 420-6221

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2000

Enumeration DateMarch 24, 2006

Last NPPES UpdateJuly 11, 2013

✔ NPI 1730149626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in NY · 223209

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License MD426379 (PA)

100 PLAZA CT, East Stroudsburg, PA 18301

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Other Identifiers 3

Medicare ID-Type Unspecified093749LJYPA

Medicaid1013761380001PA

Medicare UPINI38622PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles K Herman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890727614

PECOS Enrollment IDI20050901000143

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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Herman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Care Centers Inc.

1.2 mi

Internal Medicine

206 E BROWN ST
E Stroudsburg, PA 18301

Reassigned Medicare billing, Pennsylvania enrollment
500 clinicians in this Medicare group

NPI 1669563037 (570) 476-3507

Charles K Herman MD PLLC

61 mi

Plastic Surgery

470 SENTRY PKWY E
Blue Bell, PA 19422

Reassigned Medicare billing, Pennsylvania enrollment

NPI 1881568913 (570) 350-6368

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

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.

201 services145 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.

76 services76 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services25 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

16 services12 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11311

This procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.

15 services11 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

12 services12 patients

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.

79.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.12

Promoting Interoperability

Improvement Activities

Cost

60.65

Other Providers at the Same Location NPPES 5

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

POCONO MEDICAL CENTER

Orthopaedic Surgery

100 PLAZA CT, SUITE C
E STROUDSBURG, PA 18301

Monroe County (570) 420-6220

POCONO MEDICAL CENTER

Orthopaedic Surgery

100 PLAZA CT, SUITE C
E STROUDSBURG, PA 18301

Monroe County (570) 420-6220

PETER J CASALE M.D.

Internal Medicine

100 PLAZA CT, SUITE A
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-7292

RENAL TREATMENT CENTERS NORTHEAST INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

100 PLAZA CT, STE B
EAST STROUDSBURG, PA 18301

Monroe County (570) 476-5630

POCONO MEDICAL GROUP & NEPHROLOGY CONSULTANTS, LLC

Internal Medicine

100 PLAZA CT, SUITE A
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-7292

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 Charles Herman's NPI number?

The NPI number for Charles Herman is 1730149626. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Charles Herman located?

Charles Herman practices at 100 Plaza Ct Suite C, East Stroudsburg, PA 18301. The listed phone number is (570) 420-6220.

What is Charles Herman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Charles Herman enrolled in Medicare?

Yes. Charles Herman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Herman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Herman reassigns Medicare benefits to 2 organizations: Family Care Centers Inc. (E Stroudsburg, PA) and Charles K Herman MD PLLC (Blue Bell, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Herman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Herman was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.