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

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: August 16, 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
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
Open in Google Maps ↗

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 (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.

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

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.

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.

Is Charles Herman affiliated with any hospitals?

According to CMS data, Charles Herman is affiliated with Lehigh Valley Hospital - Pocono.

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.