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MARC ALLEN HERBERT R.N.
NPI 1063655298
Nurse Practitioner - Family in Henrietta, NY

Active since April 17, 2009PECOS EnrolledAccepts Medicare Assignment
2685 E HENRIETTA RD, HENRIETTA, NY 14467(585) 444-0058(585) 444-0108 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2024, Nov 27, 2019 (2 updates tracked since 2019).

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

NPI1063655298
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARC ALLEN HERBERTCredential: R.N.
Location Address2685 E HENRIETTA RDHenrietta, NY 14467-9370
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Phone(585) 444-0058
Fax(585) 444-0108
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 17, 2009
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1063655298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 345236
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 604642 (NY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 345236 (NY)
2685 E HENRIETTA RD, Henrietta, NY 14467
Open in Google Maps ↗

Secondary Practice Location 1

Location 1385 Davies Ave, Apartment 4West Henrietta, NY 14586-8829 · Phone (585) 354-5201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID3476987942
PECOS Enrollment IDI20191217001406
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Marc Herbert reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western New York Medical Practice, PC
1.1 mi
Orthopaedic Surgery
125 RED CREEK DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
NPI 1568868388 (585) 321-0110
Rochester General Hospital
3.6 mi
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1174990303 (585) 922-3100
The Unity Hospital Of Rochester
6.9 mi
Rehabilitation, Substance Use Disorder
81 LAKE AVE, EVELYN BRANDON HEALTH CENTER
Rochester, NY 14608
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1689891178 (585) 368-6900
United Memorial Medical Center
29 mi
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1669747085 (585) 343-6030
Wellnow Urgent Care, PC
70 mi
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 clinicians in this Medicare group
NPI 1669825162 (716) 699-9032

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
58 services56 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.
25 services24 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14467 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 6

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

MEGAN NELL SLYMON NP
Nurse Practitioner (Family)
2685 E HENRIETTA RD
HENRIETTA, NY 14467
Monroe County (585) 444-0058
SYDNEY LORRAINE PEACOCK PA-C
Physician Assistant
2685 E HENRIETTA RD
HENRIETTA, NY 14467
Monroe County (585) 444-0058
MS. LATANYA TENZA WHITE FNP
Nurse Practitioner (Family)
2685 E HENRIETTA RD
HENRIETTA, NY 14467
Monroe County (585) 444-0058
MR. JON GOOTNICK PA
Physician Assistant (Medical)
2685 E HENRIETTA RD
HENRIETTA, NY 14467
Monroe County (585) 444-0058
CASSIDY ROSE SMITH PA-C
Physician Assistant
2685 E HENRIETTA RD
HENRIETTA, NY 14467
Monroe County (716) 204-4500
STEPHANIE LYNNE WIERZBA
Physician Assistant
2685 E HENRIETTA RD
HENRIETTA, NY 14467
Monroe County (585) 444-0058

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 Marc Herbert's NPI number?

The NPI number for Marc Herbert is 1063655298. It was assigned to this individual provider in the NPPES registry on April 17, 2009.

Where is Marc Herbert located?

Marc Herbert practices at 2685 E Henrietta Rd, Henrietta, NY 14467. The listed phone number is (585) 444-0058.

What is Marc Herbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marc Herbert enrolled in Medicare?

Yes. Marc Herbert 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.

Which organizations bill Medicare for Marc Herbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Herbert reassigns Medicare benefits to 5 organizations: Western New York Medical Practice, PC (Rochester, NY), Rochester General Hospital (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY), United Memorial Medical Center (Batavia, NY) and Wellnow Urgent Care, PC (Liverpool, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Herbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marc Herbert affiliated with any hospitals?

According to CMS data, Marc Herbert is affiliated with Rochester General Hospital and Clifton Springs Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Marc Herbert was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.