MARK D HERRON (M.D.) – Dermatology Physician, NPI 1942271812
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
207 DERMATOLOGY in AL
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Provider Addresses for MARK D HERRON (M.D.)
7260, Halcyon Summit Drive, Halcyon, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361177047
Phone: (334) 277-3332
Fax: (334) 277-3522
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 221 Open Payments records for all available years, with a total value of $5,152.
Total Amount is formed as General ($5,152) + Research ($0) + Ownership ($0) = $5,152.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,391).
Total Amount
$5,152
General + Research + Ownership
Payments
221
Total payment records
General Amount
$5,152
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,391 |
| Janssen Biotech, Inc. | $705 |
| E.R. Squibb & Sons, L.L.C. | $508 |
| GENZYME CORPORATION | $400 |
| Novartis Pharmaceuticals Corporation | $278 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040809000433 | I | Dermatology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,657 | 1,011 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 903 | 609 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 628 | 527 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 506 | 243 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 449 | 375 | $0 |
Insurance plans in this area (ZIP 36117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | AL | 11101 | Biopsy of each additional growth of skin and/or tissue | 239 | 177 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AL |
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