MARK D HERRON M.D.
NPI 1942271812
Dermatology in Montgomery, AL
About Mark D Herron M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK D HERRON M.D. (NPI 1942271812) is an individual dermatology provider in Montgomery, Alabama, licensed in Alabama (21157) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses 2
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Other Identifiers 3
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 D Herron 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.
Areas of Expertise CMS Part B claims 25
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 1942271812. It was assigned to this individual provider in the NPPES registry on January 30, 2006.
Where is Mark Herron located?
Mark Herron practices at 7260 Halcyon Summit Dr, Montgomery, AL 36117. The listed phone number is (334) 277-3332.
What is Mark Herron's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
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.
What insurance does Mark Herron accept?
Health plans from Blue Cross and Blue Shield of Alabama 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 April 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.
