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

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
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: July 19, 2026.

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, is affiliated with Lehigh Valley Hospital - Pocono, 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
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

Other Identifiers 3

Medicare ID-Type Unspecified093749LJYPA
Medicaid1013761380001PA
Medicare UPINI38622PA

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

Charles K Herman 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 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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
131 services104 patients
Established patient office or other outpatient visit, 10-19 minutes 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.
97 services66 patients
New patient office or other outpatient visit, 30-44 minutes 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.
80 services80 patients
New patient office or other outpatient visit, 45-59 minutes 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.
24 services24 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.
14 services14 patients
Melanoma (skin cancer) excision NAN03
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
0 services28 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe 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.

79.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.12
Promoting Interoperability86
Improvement Activities40
Cost60.65

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.

Internal Medicine
100 PLAZA CT, SUITE A
EAST STROUDSBURG, PA 18301
Internal Medicine
100 PLAZA CT, SUITE A
EAST STROUDSBURG, PA 18301
Orthopaedic Surgery
100 PLAZA CT, SUITE C
E STROUDSBURG, PA 18301
Orthopaedic Surgery
100 PLAZA CT, SUITE C
E STROUDSBURG, PA 18301
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
100 PLAZA CT, STE B
EAST STROUDSBURG, PA 18301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730149626, enumerated as an "individual" on March 24, 2006.

The provider is located at 100 PLAZA CT SUITE C EAST STROUDSBURG, PA 18301 and the phone number is (570) 420-6220.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Charles Herman is affiliated with: LEHIGH VALLEY HOSPITAL - POCONO.