DR. MARK A HERMAN MD
NPI 1902883366
Surgery in Rochester Hills, MI

Q: What is Mark Herman's NPI number?

The NPI number for Mark Herman is 1902883366. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is Mark Herman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Herman was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 December 28, 2005PECOS EnrolledAccepts Medicare Assignment

1701 SOUTH BLVD E, STE 270, ROCHESTER HILLS, MI 48307(248) 853-3100(248) 853-4300 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark A Herman Md NPPES

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

DR. MARK A HERMAN MD (NPI 1902883366) is an individual surgery provider in Rochester Hills, Michigan, licensed in Michigan (4301063793) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Wayne State University School Of Medicine (1994).

NPPES Registry Identity

NPI1902883366

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. MARK A HERMANCredential: MD

Location Address1701 SOUTH BLVD E, STE 270Rochester Hills, MI 48307-6122

Mailing Address1701 South Blvd E, Ste 270Rochester Hills, MI 48307-6122 · (248) 853-3100 · Fax (248) 853-4300

Phone(248) 853-3100

Fax(248) 853-4300

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1994

Enumeration DateDecember 28, 2005

Last NPPES UpdateApril 1, 2011

✔ NPI 1902883366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4301063793

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1701 SOUTH BLVD E, Rochester Hills, MI 48307

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Other Identifiers 2

Medicare ID-Type UnspecifiedON3054003

Medicare UPINH38153

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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. Mark A Herman 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 ID5799743043

PECOS Enrollment IDI20050103000768

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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

99 services60 patients

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.

81 services39 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

66 services63 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.

46 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

43 services43 patients

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.

38 services38 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.

27 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services11 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

12 services12 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

11 services11 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

3%71 patients1/55-star benchmark: 85%

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers18 claims340 services$4.92 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each A4424

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$4.60 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

4 suppliers16 claims640 services$0.10 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

4 suppliers19 claims2,290 services$0.11 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

4 suppliers16 claims2,791 services$0.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

LAURA JAYNE HAZELY APN, CNM

Advanced Practice Midwife

1701 SOUTH BLVD E, SUITE 200
ROCHESTER HILLS, MI 48307

Oakland County (248) 997-5805

DR. MARA L GEIGER MD

Internal Medicine

1701 SOUTH BLVD E, STE 290
ROCHESTER HILLS, MI 48307

Oakland County (248) 997-7900

CANCER CARE ASSOCIATES, P.C.

Clinical Medical Laboratory

1701 SOUTH BLVD E, SUITE 107
ROCHESTER HILLS, MI 48307

Oakland County (248) 852-4231

ACADEMIC CARDIOLOGY ASSOCIATES, PC

Internal Medicine (Cardiovascular Disease)

1701 SOUTH BLVD E, SUITE 390
ROCHESTER HILLS, MI 48307

Oakland County (248) 293-0055

DR. TODD M HACHIGIAN MD

Internal Medicine

1701 SOUTH BLVD E, STE 290
ROCHESTER HILLS, MI 48307

Oakland County (248) 997-7900

MARYBETH HODAPP RN

Registered Nurse

1701 SOUTH BLVD E, SUITE 200
ROCHESTER HILLS, MI 48307

Oakland County (248) 997-5805

KAYLA LEMARBE DNP, CNM, BSN, RN

Midwife

1701 SOUTH BLVD E
ROCHESTER HILLS, MI 48307

Oakland County (248) 997-5805

SVETLANA O AMINOVA MD

Internal Medicine (Infectious Disease)

1701 SOUTH BLVD E, SUITE 160
ROCHESTER HLS, MI 48307

Oakland County (248) 598-5080

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 Herman's NPI number?

The NPI number for Mark Herman is 1902883366. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Mark Herman located?

Mark Herman practices at 1701 South Blvd E Ste 270, Rochester Hills, MI 48307. The listed phone number is (248) 853-3100.

What is Mark Herman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Herman enrolled in Medicare?

Yes. Mark Herman 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 Herman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Mark Herman 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.

Is Mark Herman affiliated with any hospitals?

According to CMS data, Mark Herman is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Mark Herman was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.