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MARSHALL TODD HERRON DPM
NPI 1225003064
Podiatrist in Athens, GA

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
98.63/100
CMS Quality Rating
230 CEDAR POINTE DR, ATHENS, GA 30605(706) 549-3668(706) 613-5069 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marshall Todd Herron Dpm NPPES

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

MARSHALL TODD HERRON DPM (NPI 1225003064) is an individual podiatrist in Athens, Georgia, licensed in Georgia (POD000733) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (1993).

NPPES Registry Identity

NPI1225003064
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMARSHALL TODD HERRONCredential: DPM
Location Address230 CEDAR POINTE DRAthens, GA 30605-3339
Mailing Address230 Cedar Pointe DrAthens, GA 30605-3339 · (706) 549-3668 · Fax (706) 613-5069
Phone(706) 549-3668
Fax(706) 613-5069
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 1993
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 6, 2022
NPPES CertifiedJuly 6, 2022
✔ NPI 1225003064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in GA · POD000733
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
230 CEDAR POINTE DR, Athens, GA 30605
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Other Identifiers 6

Medicaid000627228BGA
Other480017437GA · Railroad Medicare
Other10076000GA · Amerigroup
Other6521170GA · Cigna
Other1015170002GA · Medicare Dmerc
Other378560GA · Wellcare

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

Marshall Todd Herron Dpm 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 ID5799880084
PECOS Enrollment IDI20070416000143
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.

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.
768 services293 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
597 services156 patients
Simple separation of fingernail or toenail from nail bed, first nail 11730
This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
437 services295 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
396 services147 patients
Simple separation of fingernail or toenail from nail bed, each additional nail 11732
This procedure involves the careful removal of a fingernail or toenail from its nail bed. It's commonly done to treat conditions like an ingrown nail or fungal infection. Additional nails can also be removed if necessary. The process is typically painless due to local anesthesia.
206 services174 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
141 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30605 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

98.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%440 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%565 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
100%565 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
8%59 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%1,810 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

ANTHONY ROY GORDON DPM
Podiatrist (Foot Surgery)
230 CEDAR POINTE DR
ATHENS, GA 30605
Clarke County (706) 208-9977
ANTHONY R. GORDON DPM, PC
Podiatrist
230 CEDAR POINTE DR
ATHENS, GA 30605
Clarke County (706) 208-9977

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 Marshall Herron's NPI number?

The NPI number for Marshall Herron is 1225003064. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Marshall Herron located?

Marshall Herron practices at 230 Cedar Pointe Dr, Athens, GA 30605. The listed phone number is (706) 549-3668.

What is Marshall Herron's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Marshall Herron enrolled in Medicare?

Yes. Marshall Herron 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.

When was this NPI record last updated?

The NPPES record for Marshall Herron was last updated on July 6, 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.