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HERBERT MARKLEY MD
NPI 1043251598
Psychiatry & Neurology - Neurology in Worcester, MA

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
85 PRESCOTT ST STE 101, WORCESTER, MA 01605(508) 890-5633(508) 890-1125 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Herbert Markley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERBERT MARKLEY MD (NPI 1043251598) is an individual neurology provider in Worcester, Massachusetts, licensed in Massachusetts (51010) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1968).

NPPES Registry Identity

NPI1043251598
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameHERBERT MARKLEYCredential: MD
Location Address85 PRESCOTT ST STE 101Worcester, MA 01605-2610
Mailing Address32 Brooks Station RdPrinceton, MA 01541-1803 · (508) 890-5633
Phone(508) 890-5633
Fax(508) 890-1125
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1968
Enumeration DateJune 8, 2006
Last NPPES UpdateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1043251598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MA · 51010
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
85 PRESCOTT ST STE 101, Worcester, MA 01605
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Other Identifiers 5

Other713815MA · Tufts
Other11406MA · Harvard Pilgrim
OtherJ02169MA · Bcbs
Other18781MA · Nealth New England
Medicaid2083264MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Herbert Markley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355397431
PECOS Enrollment IDI20050323000195
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 8

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
2,079 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
369 services146 patients
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.
152 services36 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
89 services21 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
75 services22 patients
Destruction of first division of face nerve branch 64600
Destruction of the first division of the facial nerve branch is a procedure aimed at relieving nerve pain. It involves using special techniques to disrupt the nerve's ability to transmit pain signals to the brain, thereby reducing discomfort.
49 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing E0424
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$67.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Herbert Markley's NPI number?

The NPI number for Herbert Markley is 1043251598. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Herbert Markley located?

Herbert Markley practices at 85 Prescott St Ste 101, Worcester, MA 01605. The listed phone number is (508) 890-5633.

What is Herbert Markley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Herbert Markley enrolled in Medicare?

Yes. Herbert Markley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Herbert Markley accept?

Health plans from Anthem Blue Cross and Blue Shield list Herbert Markley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Herbert Markley was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.