DR. MARCUS HERSHEY MD
NPI 1730568502
Otolaryngology in Houston, TX

Q: What is Marcus Hershey's NPI number?

The NPI number for Marcus Hershey is 1730568502. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Q: What is Marcus Hershey's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Marcus Hershey was last updated on March 1, 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.

Active since May 26, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1103 BANKS ST, HOUSTON, TX 77006(713) 795-4885(713) 795-0502 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Feb 6, 2023, Feb 1, 2022 and 1 more (4 updates tracked since 2020).

On this page

About Dr. Marcus Hershey Md NPPES

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

DR. MARCUS HERSHEY MD (NPI 1730568502) is an individual otolaryngology provider in Houston, Texas, licensed in Texas (S5653) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2015).

NPPES Registry Identity

NPI1730568502

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. MARCUS HERSHEYCredential: MD

Location Address1103 BANKS STHouston, TX 77006-6113

Mailing Address1103 Banks StHouston, TX 77006-6113 · (713) 795-4885 · Fax (713) 795-0502

Phone(713) 795-4885

Fax(713) 795-0502

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2015

Enumeration DateMay 26, 2015

Last NPPES UpdateMarch 1, 20234 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1730568502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TX · S5653

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1103 BANKS ST, Houston, TX 77006

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Marcus Hershey Md 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 ID9931524238

PECOS Enrollment IDI20200804000942

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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77006 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

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.

CECIL S.T. YEUNG, MD FACS AND ASSOCIATES

Clinic/Center (Medical Specialty)

1103 BANKS ST
HOUSTON, TX 77006

Harris County (713) 795-4885

CECIL S.T. YEUNG M.D.

Otolaryngology

1103 BANKS ST
HOUSTON, TX 77006

Harris County (713) 795-4885

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 Marcus Hershey's NPI number?

The NPI number for Marcus Hershey is 1730568502. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Marcus Hershey located?

Marcus Hershey practices at 1103 Banks St, Houston, TX 77006. The listed phone number is (713) 795-4885.

What is Marcus Hershey's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Marcus Hershey enrolled in Medicare?

Yes. Marcus Hershey 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 Marcus Hershey accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Marcus Hershey 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 Marcus Hershey was last updated on March 1, 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.