MARK KELLAND HERSCHEL M.D.
NPI 1124083068
Ophthalmology - Cornea and External Diseases Specialist in Winter Park, FL

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
5452 LAKE HOWELL ROAD, WINTER PARK, FL 32792(407) 894-8081(407) 894-8082 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2023, Jul 21, 2020, Nov 8, 2018 (3 updates tracked since 2018).

About Mark Kelland Herschel M.d. NPPES

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

MARK KELLAND HERSCHEL M.D. (NPI 1124083068) is an individual cornea and external diseases specialist in Winter Park, Florida, licensed in Florida (ME77485) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1987).

NPPES Registry Identity

NPI1124083068
Entity TypeIndividualMale
Primary Taxonomy207WX0120X
Provider Legal NameMARK KELLAND HERSCHELCredential: M.D.
Location Address5452 LAKE HOWELL ROADWinter Park, FL 32792
Mailing Address5452 Lake Howell RdWinter Park, FL 32792 · (407) 894-8081 · Fax (407) 894-8082
Fax(407) 894-8082
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1987
Enumeration DateApril 20, 2006
Last NPPES UpdateFebruary 14, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
NPI 1124083068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
License Licensed in FL · ME77485
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME77485 (FL)
5452 LAKE HOWELL ROAD, Winter Park, FL 32792

Other Identifiers 8

Other400650FL · Ghi
Other20922FL · Bcbs
Other2439416FL · Aetna Hmo
Medicaid25622700FL
Other1476870FL · Cigna
Other209665FL · Well Care
Other5014060FL · Aetnappo/pos
Other1689235FL · United Health Care

Accepted 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 Kelland Herschel 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 ID1153484670
PECOS Enrollment IDI20100826000410
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 14

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
189 services89 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
147 services124 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
134 services117 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
112 services98 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
66 services59 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
64 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32792 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Herschel's NPI number?

The NPI number for Mark Herschel is 1124083068. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Mark Herschel located?

Mark Herschel practices at 5452 Lake Howell Road, Winter Park, FL 32792. The listed phone number is (407) 894-8081.

What is Mark Herschel's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Mark Herschel enrolled in Medicare?

Yes. Mark Herschel 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 Herschel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Mark Herschel 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 Mark Herschel was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.