DR. MARK EDWARD HERRERA (M.D.) – Diagnostic Radiology Physician, NPI 1629059209
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
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Provider Addresses for DR. MARK EDWARD HERRERA (M.D.)
1820, Preston Park Boulevard, Plano, Collin County, Texas, 75093, United States
1200
PLANO, TX 750933656
Phone: (972) 867-7862
Fax: (972) 612-1623
Type: Mailing
Medical City Plano, 3901, West 15th Street, Plano, Collin County, Texas, 75075, United States
PLANO, TX 750757738
Phone: (972) 596-6800
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: 2018-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080930000140 | I | Diagnostic Radiology | TX | TBD |
| I20180723003529 | I | Diagnostic Radiology | HI | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 467 | 445 | $0 |
| 70450 | Ct scan head or brain without contrast | 134 | 132 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 103 | 103 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 71 | 71 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 70 | 69 | $0 |
Insurance plans in this area (ZIP 75093)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TX | 71010 | X-ray of chest, 1 view, front | 1480 | 1376 |
| DIAGNOSTIC RADIOLOGY | TX | 71250 | CT scan chest | 96 | 96 |
| DIAGNOSTIC RADIOLOGY | TX | 73110 | X-ray of wrist, minimum of 3 views | 20 | 20 |
| DIAGNOSTIC RADIOLOGY | TX | 73562 | X-ray of knee, 3 views | 36 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX |
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