Not Medicare Enrolled
Dr. Gail Herman, M.D.
Internal Medicine · Niles, IL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 3 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. Gail Herman is an internal medicine specialist in Niles, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Herman performed 5,480 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Herman received a total of $5,730 from 35 pharmaceutical and/or device companies across 322 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 4% volume in IL
$5,730 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗5,480
Medicare services
Top 4% in IL for internal medicine
Not available
Unique patients (not deduplicated)
$41
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
657 | $8 | $22 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
474 | $8 | $36 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
436 | $10 | $58 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
398 | $62 | $115 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
397 | $2 | $16 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
376 | $16 | $90 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
352 | $87 | $175 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
328 | $13 | $84 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
321 | $134 | $225 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
227 | $9 | $64 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
212 | $29 | $120 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
134 | $130 | $221 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
114 | $5 | $36 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
113 | $8 | $50 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
112 | $279 | $300 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
110 | $31 | $32 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
102 | $31 | $32 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
99 | $72 | $75 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
87 | $82 | $112 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
76 | $16 | $27 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
60 | $12 | $78 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
60 | $41 | $76 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
38 | $41 | $135 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
31 | $38 | $108 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
29 | $6 | $49 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
24 | $169 | $246 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
23 | $164 | $250 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
22 | $19 | $96 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
21 | $172 | $260 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
18 | $229 | $346 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
17 | $9 | $125 |
| PSA test (prostate cancer screening) | 12 | $18 | $96 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$5,730
Total received (2018-2024)
Avg $819/year across 7 years
Top 11% in IL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
322
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$803
2023
$1,025
2022
$720
2021
$937
2020
$570
2019
$684
2018
$991
Payments by company (2024)
Novo Nordisk Inc
$307
PFIZER INC.
$181
Sumitomo Pharma America, Inc.
$52
GlaxoSmithKline, LLC.
$45
E.R. Squibb & Sons, L.L.C.
$45
Amgen Inc.
$40
AstraZeneca Pharmaceuticals LP
$40
IRONWOOD PHARMACEUTICALS, INC
$38
Novartis Pharmaceuticals Corporation
$21
Exact Sciences Corporation
$21
ABBVIE INC.
$14
Top 3 companies account for 67.3% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,802
PFIZER INC.
$618
AstraZeneca Pharmaceuticals LP
$461
AbbVie Inc.
$304
Janssen Pharmaceuticals, Inc
$300
Boehringer Ingelheim Pharmaceuticals, Inc.
$288
Amgen Inc.
$197
Amarin Pharma Inc.
$187
Daiichi Sankyo Inc.
$183
Novartis Pharmaceuticals Corporation
$174
GlaxoSmithKline, LLC.
$173
Lilly USA, LLC
$144
ABBVIE INC.
$102
Takeda Pharmaceuticals U.S.A., Inc.
$90
Merck Sharp & Dohme Corporation
$82
Biohaven Pharmaceutical Holding Company Ltd.
$80
E.R. Squibb & Sons, L.L.C.
$70
Sumitomo Pharma America, Inc.
$52
Exact Sciences Corporation
$45
Abbott Laboratories
$42
Edwards Lifesciences Corporation
$38
IRONWOOD PHARMACEUTICALS, INC
$38
Allergan, Inc.
$34
AbbVie, Inc.
$30
Teva Pharmaceuticals USA, Inc.
$27
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$24
Esperion Therapeutics, Inc.
$21
Genentech USA, Inc.
$19
Mylan Specialty L.P.
$19
SANOFI-AVENTIS U.S. LLC
$18
AMAG Pharmaceuticals, Inc.
$15
Biohaven Pharmaceuticals, Inc.
$14
IDORSIA PHARMACEUTICALS US INC
$14
Noden Pharma USA Inc
$12
Astellas Pharma US Inc
$12
Top 3 companies account for 50.3% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BEVESPI AEROSPHERE · BREZTRI · CAMZYOS · CHANTIX · CREON · Cologuard Collection Kit · DIFICID · ELIQUIS · ENTRESTO · ETERNA · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GEMTESA · INJECTAFER · INTRAROSA · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · LINZESS · Linzess · MOUNJARO · Myrbetriq · NEXLETOL · NURTEC ODT · OFEV · Otezla · Ozempic · PASCAL · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TEKTURNA · TRADJENTA · Tresiba · Trintellix · UBRELVY · VIBERZI · VRAYLAR · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · Xofluza · Yupelri
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
5,912
County median income
$81,797
Nearest hospital to ZIP centroid (approximate)
ADVOCATE LUTHERAN GENERAL HOSPITAL
2.0 mi
2.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | — Not enrolled | N/A |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Herman is a clinical cardiology specialist, with above-average Medicare volume (top 4% in IL), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Herman experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Herman performed 657 blood draw (venipuncture) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Herman receive payments from pharmaceutical companies?
Yes. Dr. Herman received a total of $5,730 from 35 companies across 322 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 internal medicine physicians in Niles?
Dr. Herman's average Medicare payment per service is $41. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
Explore related providers
Same specialty & city
Internal Medicine Physicians in Niles
Browse internal medicine physicians in Niles ranked by procedure volume and transparency data.
Highest volume
Top Internal Medicine Physicians in IL
Internal medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Internal Medicine Physicians in IL
Which IL internal medicine physicians receive the most from drug and device companies.
By company
Novo Nordisk Inc Payments to Doctors
See all physicians who received payments from Novo Nordisk Inc.
By company
PFIZER INC. Payments to Doctors
See all physicians who received payments from PFIZER INC.
By company
AstraZeneca Pharmaceuticals LP Payments to Doctors
See all physicians who received payments from AstraZeneca Pharmaceuticals LP.
About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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