Medicare Enrolled

Dr. Michael Herman, DO

Gastroenterology · Fleming Island, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Speaking/Promotional
1747 BAPTIST CLAY DR STE 300, Fleming Island, FL 32003
9042148100
In practice since 2006 (20 years)
NPI: 1831179290 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Herman from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Herman? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Herman

Dr. Michael Herman is a gastroenterology in Fleming Island, FL, with 20 years in practice. Based on federal Medicare data, Dr. Herman performed 1,871 Medicare services across 1,360 unique beneficiaries.

Between the years covered by Open Payments, Dr. Herman received a total of $108,595 from 38 pharmaceutical and/or device companies across 392 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Herman is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ Top 14% volume in FL$ $108,595 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,871
Medicare services
Top 14% in FL for gastroenterology
1,360
Unique beneficiaries
$98
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~94 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Hospital follow-up visit, moderate complexity545$64$200
Hospital follow-up visit, high complexity229$96$250
Upper GI endoscopy with biopsy222$74$650
Colonoscopy with biopsy201$118$850
Office visit, established patient (30-39 min)128$98$275
Office visit, established patient, complex (40-54 min)108$139$350
Removal of polyps or growths of large bowel using an endoscope with mechanical snare104$212$1,209
Initial hospital admission, moderate complexity101$105$300
Dilation of esophagus51$32$165
Initial hospital admission, high complexity43$140$400
Colorectal cancer screening; colonoscopy on individual at high risk31$184$790
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk24$188$800
Diagnostic exam of large bowel using a flexible endoscope19$136$789
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm18$106$656
New patient office visit (30-44 min)18$85$300
New patient office visit (45-59 min)15$97$400
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$96$630
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$108,595
Total received (2018-2024)
Avg $15,514/year across 7 years
Top 2% in FL for gastroenterology
38
Companies
392
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$102,264 (94.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,954 (3.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,377 (2.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$25,961
2023
$670
2022
$557
2021
$1,133
2020
$16,170
2019
$34,702
2018
$29,403

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Intercept Pharmaceuticals, Inc.
$45,028
Gilead Sciences, Inc.
$31,762
Madrigal Pharmaceuticals
$20,757
Phathom Pharmaceuticals, Inc.
$4,587
Romark Laboratories, LC
$1,596
ABBVIE INC.
$1,012
Shionogi Inc
$794
AbbVie, Inc.
$460
Janssen Biotech, Inc.
$416
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$392
AbbVie Inc.
$337
Takeda Pharmaceuticals U.S.A., Inc.
$241
Allergan Inc.
$173
Janssen Scientific Affairs, LLC
$127
Ethicon US, LLC
$121
Braintree Laboratories, Inc.
$82
Celgene Corporation
$69
UCB, Inc.
$66
Daiichi Sankyo Inc.
$63
Merck Sharp & Dohme Corporation
$55
PFIZER INC.
$50
Covidien LP
$46
Merck Sharp & Dohme LLC
$44
Shire North American Group Inc
$39
IRONWOOD PHARMACEUTICALS, INC
$38
AIMMUNE THERAPEUTICS, INC.
$33
GENZYME CORPORATION
$27
ALBIREO PHARMA, INC.
$24
Alnylam Pharmaceuticals Inc.
$23
Ironwood Pharmaceuticals, Inc
$18
VIVUS LLC
$17
Lilly USA, LLC
$16
Concordia Pharmaceuticals Inc.
$15
Synergy Pharmaceuticals Inc
$15
Medtronic, Inc.
$15
Otsuka America Pharmaceutical, Inc.
$14
Ferring Pharmaceuticals Inc.
$13
Allergan, Inc.
$11
Top 3 companies account for 89.8% of total payments
Associated products mentioned in payments ›
Alinia Tablets 500mg 30 count bottle · Amitiza · BREATHTEK · Bravo · Bylvay · CLENPIQ · CREON · Cimzia · Creon · DIFICID · DONNATAL · DUPIXENT · ENTYVIO · EndoFlip · Entyvio · Epclusa · GATTEX · GIVLAARI · HUMIRA · Humira · INJECTAFER · LINX Reflux Management System · LINZESS · Linzess · MAVYRET · Mavyret · Motegrity · Mulpleta · OCALIVA · OMVOH · Qsymia · RELISTOR · REZDIFFRA · RINVOQ · SKYRIZI · STELARA · SUPREP · SUPREP BOWEL PREP · SUTAB · TREMFYA · TRULANCE · Trulance · UCERIS · VIBERZI · VOQUEZNA · VOWST · XELJANZ · XIFAXAN · XIFIXAN · ZEPATIER · ZEPOSIA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (94%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in gastroenterology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for gastroenterology in FL.

Equivalent to $5,804 per 100 Medicare services performed
Looking for a gastroenterology in Fleming Island?
Compare gastroenterologys in the Fleming Island area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys within 10 mi
136
Per 100K population
60.9
County median income
$86,094
Nearest hospital
HCA FLORIDA ORANGE PARK HOSPITAL
5.3 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Herman is a mixed practice specialist, with above-average Medicare volume (top 14% in FL), and high industry engagement (speaking/promotional, top 2%), with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Herman experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Herman performed 545 hospital follow-up visit, moderate complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Herman receive payments from pharmaceutical companies?
Yes. Dr. Herman received a total of $108,595 from 38 companies across 392 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Herman's costs compare to other gastroenterologys in Fleming Island?
Dr. Herman's average Medicare payment per service is $98. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Herman) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →