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MARK A HERRON O.D.
NPI 1699884882
Optometrist in Cincinnati, OH

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
12094 MONTGOMERY RD, CINCINNATI, OH 45249(513) 774-0999(513) 774-0547 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 24, 2024, Nov 19, 2021 (2 updates tracked since 2021).

About Mark A Herron O.d. NPPES

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

MARK A HERRON O.D. (NPI 1699884882) is an individual optometrist in Cincinnati, Ohio, licensed in Ohio (4746 / T1550) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1996).

NPPES Registry Identity

NPI1699884882
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK A HERRONCredential: O.D.
Location Address12094 MONTGOMERY RDCincinnati, OH 45249-1729
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(513) 774-0999
Fax(513) 774-0547
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1996
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1699884882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 4746 / T1550
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
12094 MONTGOMERY RD, Cincinnati, OH 45249
Open in Google Maps ↗

Other Identifiers 4

Other311645431U.h.c.
Other000000122749OH · Anthem
Other311645431Aetna
Other311645431Humana

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

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

Mark A Herron O.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 ID1456324516
PECOS Enrollment IDI20111128000278
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 Reassignment

Medicare enrollment records show Mark Herron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Myeyedr Optometry Of Ohio, LLC
Same address
Optometrist
12094 MONTGOMERY RD
Cincinnati, OH 45249
  • Reassigned Medicare billing, Ohio enrollment
  • 134 clinicians in this Medicare group
NPI 1346809928 (513) 774-0999

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45249 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 3

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

MYEYEDR OPTOMETRY OF OHIO, LLC
Optometrist
12094 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (513) 774-0999
WING EYECARE, INC.
Optometrist
12094 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (513) 774-0999
DR. MARTIN BURGER DO
Ophthalmology
12094 MONTGOMERY RD
CINCINNATI, OH 45249
Hamilton County (352) 752-0075

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 Herron's NPI number?

The NPI number for Mark Herron is 1699884882. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mark Herron located?

Mark Herron practices at 12094 Montgomery Rd, Cincinnati, OH 45249. The listed phone number is (513) 774-0999.

What is Mark Herron's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mark Herron enrolled in Medicare?

Yes. Mark 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.

Which organization bills Medicare for Mark Herron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Herron reassigns Medicare benefits to Myeyedr Optometry Of Ohio, LLC (Cincinnati, OH). The 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 Mark Herron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Herron accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Mark Herron 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 Herron was last updated on June 24, 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.