MARLO HERRICK (PA-C) – Medical Physician Assistant, NPI 1881778892
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for MARLO HERRICK (PA-C)
35 Talcottville Rd
Vernon, CT 060665261
Phone: (860) 787-5774
Type: Location
80 Route 6 Ste 704-705
Baldwin Place, NY 105051026
Phone: (475) 253-2599
Type: Location
55 Hazard Ave
Enfield, CT 060823826
Phone: (475) 253-2599
Type: Location
31 OLD ROUTE 7
BROOKFIELD, CT 068041711
Phone: (475) 253-2599
Type: Mailing
Mid State Medical Center, 435, Lewis Avenue, Meriden, New Haven County, Connecticut, 06451, United States
MERIDEN, CT 064512101
Phone: (203) 694-8200
Type: Mailing
Harbor Freight Tools, 35, Talcottville Road, Vernon, Tolland County, Connecticut, 06066, United States
VERNON, CT 060665261
Phone: (860) 787-5774
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-03-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20110218000133 | I | Physician Assistant | CT | TBD |
| I20201103001308 | I | Physician Assistant | NY | TBD |
| I20210331002736 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 93 | 88 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 27 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
| 81003 | Automated urinalysis test | 16 | 16 | $0 |
Insurance plans in this area (ZIP 06066)
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