MARK A HERMAN M.D.
NPI 1043261795
Internal Medicine - Endocrinology, Diabetes & Metabolism in Boston, MA

Q: What is Mark Herman's NPI number?

The NPI number for Mark Herman is 1043261795. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Mark Herman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Mark Herman was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

330 BROOKLINE AVE, E/CLS 735, BOSTON, MA 02215(617) 667-9344(617) 735-3323 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2022, Aug 30, 2016 (2 updates tracked since 2016).

On this page

About Mark A Herman M.d. NPPES

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

MARK A HERMAN M.D. (NPI 1043261795) is an individual endocrinology, diabetes & metabolism provider in Boston, Massachusetts, licensed in Texas (T5336) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1043261795

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameMARK A HERMANCredential: M.D.

Location Address330 BROOKLINE AVE, E/CLS 735Boston, MA 02215-5400

Mailing Address7200 Cambridge StHouston, TX 77030-4202 · (713) 798-2400 · Fax (713) 798-4736

Phone(617) 667-9344

Fax(617) 735-3323

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2000

Enumeration DateMay 15, 2006

Last NPPES UpdateApril 5, 20222 updates tracked since enumeration

NPPES CertifiedApril 5, 2022

✔ NPI 1043261795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in TX · T5336✔ Licensed in NC · 2016-01899

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License T5336 (TX)

330 BROOKLINE AVE, Boston, MA 02215

Open in Google Maps ↗

Secondary Practice Location 1

Location 17200 Cambridge St Fl 8Houston, TX 77030-4202 · Phone (713) 798-2400 · Fax (713) 798-4736

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mark A Herman M.d. 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 ID7618972605

PECOS Enrollment IDI20220419001686

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 2

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.

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.

24 services16 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETH ISRAEL DEACONESS MEDICAL CENTER

Chronic Disease Hospital (Children)

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 677-4042

DR. BRIAN DANIEL HOBBS MD, MMSC

Internal Medicine

330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215

Suffolk County (617) 667-5864

ERICA DOMMASCH MD

Dermatology

330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215

Suffolk County (617) 667-3753

VAHID KIARAD M.D

Anesthesiology

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

JULIA MARIE BERG MD

Internal Medicine

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

DR. MICHAEL R GOLDSTEIN PHD

Psychologist (Clinical)

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 356-7246

SARA MURDOCK CAHILL MD

Hospitalist

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

DR. ELIZABETH MAIER BALOUGH MD, PHD

Student in an Organized Health Care Education/Training Program

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

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 Mark Herman's NPI number?

The NPI number for Mark Herman is 1043261795. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Mark Herman located?

Mark Herman practices at 330 Brookline Ave E/Cls 735, Boston, MA 02215. The listed phone number is (617) 667-9344.

What is Mark Herman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mark Herman enrolled in Medicare?

Yes. Mark Herman 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 Mark Herman accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Mark Herman 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.

Is Mark Herman affiliated with any hospitals?

According to CMS data, Mark Herman is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Mark Herman was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.