Matthew R. Herald, M.D.
NPI 1275737199ActiveIndividual· Psychiatry & Neurology, Psychiatry· Waukesha, WI
Psychiatry & Neurology, Psychiatry (M.D.) in Waukesha, Wisconsin, trained at University of Texas Medical School at San Antonio (class of 2007). Their prescriptions cost Medicare Part D more than their services did: $191,299 for 2,354 claims, against $20,938 paid for services in 2024.
Overview
| NPI | 1275737199 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 13, 2007 |
| Last updated in NPPES | Oct 9, 2023 |
| Certified by provider | Oct 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 52333 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 91 |
|---|---|
| Services billed | 208 across 12 procedure codes |
| Paid by Medicare | $20,938 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,354 · 3,044 30-day fills |
|---|---|
| Patients | 266 |
| Total drug cost | $191,299 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at San Antonio |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Psychiatry |
| Telehealth | Offers telehealth |
Medical group
- Prohealth Medical Group IncMukwonago, WI · 479 clinicians
Hospital affiliation
- Waukesha Memorial HospitalWaukesha, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Psychiatry & Neurology, Psychiatry providers in Waukesha
- 1629579149
- 1952487506
- 1821003377
- 1225061997
- 1053538843
- 1629292651
- 1730163569
- 1912403700
- 1568400182
- 1629043765
- 1821364738
- 1821195777
All Psychiatry & Neurology, Psychiatry providers in Wisconsin →