MARC ALLEN HERBERT R.N.
NPI 1063655298
Nurse Practitioner - Family in Henrietta, NY
About Marc Allen Herbert R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC ALLEN HERBERT R.N. (NPI 1063655298) is an individual family provider in Henrietta, New York, licensed in New York (345236) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in West Henrietta.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Marc Allen Herbert R.n. 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.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes
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.
This service was performed 58 times for 56 patientsThis 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.
This service was performed 25 times for 24 patientsThis service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
This service was performed 14 times for 14 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.23 for a new patient copayment and $24.27 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 14467 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.93
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.08
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $24.27
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Marc Herbert is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ROCHESTER GENERAL HOSPITAL | 1425 PORTLAND AVENUE ROCHESTER, NY 14621 | (585) 922-4000 | Acute Care Hospitals | |
| CLIFTON SPRINGS HOSPITAL AND CLINIC | 2 COULTER ROAD CLIFTON SPRINGS, NY 14432 | (315) 462-9561 | Acute Care Hospitals |
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063655298, enumerated as an "individual" on April 17, 2009.
The provider is located at 2685 E HENRIETTA RD HENRIETTA, NY 14467 and the phone number is (585) 444-0058.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
Marc Herbert is affiliated with: ROCHESTER GENERAL HOSPITAL and CLIFTON SPRINGS HOSPITAL AND CLINIC.
