Active NPI 1932394962 Individual Practitioner Male Practitioner

Dr. Jeffrey A Herold , MD

Plastic Surgery • Sheboygan, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Herold, MD is a certified Plastic Surgery practicing in Sheboygan, WI. With approximately 36 years of clinical experience since graduating from University Of Virginia School Of Medicine in 1990, Dr. Herold delivers high-quality medical care to the local community at 1526 N TAYLOR DR.

Dr. Herold is affiliated with St. Nicholas Hospital-Sisters Of The Third Order Of St Francis and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection into tendon or ligament, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1526 N Taylor Dr

Sheboygan, WI 530811927

Telephone 9208031598

Fax 9208031599

Associated Practice Facility / Clinic

🏢 Great Lakes Plastic Surgery Sc Facility NPI 1346213980

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Sheboygan, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +9.3 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Sheboygan, WI (98 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herold (36 Years) 36 Yrs

Sheboygan Specialty Average (26.7 Years) 26.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	146	76	$65.50	$0.97
20550 Injection into tendon or ligament	82	51	$251.52	$48.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$272.00	$107.71
99213 Established patient office or other outpatient visit, typically 15 minutes	53	45	$178.25	$88.65
20600 Aspiration and/or injection of fluid from small joint	38	25	$329.60	$52.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	34	$266.25	$125.55
64721 Release and/or relocation of hand nerve	30	26	$2388.15	$407.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$412.50	$161.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	106	57	$65.50	$1.07
20550 Injection into tendon or ligament	78	45	$254.81	$47.88
99213 Established patient office or other outpatient visit, typically 15 minutes	65	51	$192.87	$85.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$277.36	$106.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$404.64	$158.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$133.68	$54.09
20605 Aspiration and/or injection of medium joint or joint capsule	14	12	$378.86	$59.70
64721 Release and/or relocation of hand nerve	13	11	$2349.00	$413.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	107	53	$65.50	$1.11
20550 Injection into tendon or ligament	77	45	$285.71	$51.10
99213 Established patient office or other outpatient visit, typically 15 minutes	55	43	$155.00	$85.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$375.00	$159.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$247.25	$104.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	21	$108.50	$50.73
64721 Release and/or relocation of hand nerve	16	15	$2349.00	$398.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$242.00	$123.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	79	40	$65.50	$1.27
20550 Injection into tendon or ligament	53	32	$257.08	$47.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	34	$108.50	$54.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$247.25	$106.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$375.00	$161.24
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$155.00	$88.07
64721 Release and/or relocation of hand nerve	28	22	$2411.92	$413.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$242.00	$125.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	117	49	$65.50	$1.42
20550 Injection into tendon or ligament	81	43	$257.72	$46.66
99213 Established patient office or other outpatient visit, typically 15 minutes	79	51	$155.00	$70.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$247.25	$102.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	31	$108.50	$42.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$242.00	$105.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$375.00	$159.53
20605 Aspiration and/or injection of medium joint or joint capsule	18	11	$333.67	$47.91
64721 Release and/or relocation of hand nerve	16	12	$2349.00	$400.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	57	$65.50	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	80	64	$155.00	$71.48
20550 Injection into tendon or ligament	73	45	$251.71	$45.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$247.25	$104.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	34	$108.50	$43.18
64721 Release and/or relocation of hand nerve	21	16	$2460.86	$409.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$375.00	$158.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$242.00	$105.46
20605 Aspiration and/or injection of medium joint or joint capsule	14	13	$334.29	$48.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	109	51	$65.50	$1.79
20550 Injection into tendon or ligament	93	46	$252.69	$42.56
99213 Established patient office or other outpatient visit, typically 15 minutes	81	60	$155.00	$69.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$247.25	$101.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	35	$108.50	$41.94
64721 Release and/or relocation of hand nerve	27	24	$2392.50	$402.29
26055 Incision of tendon covering	23	11	$2250.00	$159.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$375.00	$150.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$242.00	$103.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	55	$64.86	$1.81
99213 Established patient office or other outpatient visit, typically 15 minutes	89	66	$151.12	$68.65
20550 Injection into tendon or ligament	71	43	$273.59	$45.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	34	$108.50	$41.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$364.13	$151.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$247.25	$102.75
64721 Release and/or relocation of hand nerve	30	25	$2349.00	$394.67
20605 Aspiration and/or injection of medium joint or joint capsule	17	15	$330.35	$49.39

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License WI 39578

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License WI 39578

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

32429800 (WI)

Hospital & Practice Group Affiliations

St. Nicholas Hospital-Sisters Of The Third Order Of St Francis

1526 N Taylor Dr, Sheboygan, WI 530811927

Phone: 9204572100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Mary Sholten , FIRST ASSIST

Specialist/Technologist, Other - Surgical Assistant

NPI 1285066993

FIRSTASSIST

Jenna Aronson , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1336516855

Carlos Nieves , PA-C

Physician Assistant

NPI 1821779067

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2013

Registered at 1526 N TAYLOR DR, SHEBOYGAN, WI 530811927 (Tel: 9208031598)

📍

Updated Business Mailing Address February 18, 2013

Registered at 1526 N TAYLOR DR, SHEBOYGAN, WI 530811927 (Tel: 9208031598)

👤

Provider Name / Credentials Updated February 18, 2013

Recorded as JEFFREY HEROLD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2013

Plastic Surgery (License #39578 in WI)

🟢

Initial NPI Registration & Enumeration September 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932394962

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 12, 2007

Last Update: February 18, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1526 N Taylor Dr

Sheboygan, WI 530811927

Phone: 9208031598

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.