Mark Herron, PA-C
NPI 1255605069 · Physician Assistant · Penacook, NH
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Herron, PA-C is a Physician Assistant provider in Penacook, NH (NPI 1255605069).
Provider details
- NPI number
- 1255605069
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
535 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 270 | $82 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 90 | $14 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 71 | $111 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 56 | $57 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 34 | $120 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 67 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 216 | 65 |
| Lisinopril | 157 | 41 |
| Pantoprazole Sodium | 115 | 32 |
| Amlodipine Besylate | 113 | 34 |
| Levothyroxine Sodium | 95 | 25 |
| Losartan Potassium | 81 | 19 |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$172 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 246 Pleasant St.Memorial Building, West, Floor 2Concord, NH 03301-2548Phone: (603) 224-4003Fax: (603) 227-7526
- 112 Spit Brook RdNashua, NH 03062-2711Phone: (603) 891-6952
Registry dates
- Enumerated
- 2012-02-27
- Last updated
- 2021-03-19
- Certified
- 2021-03-19
Frequently asked questions
- What is Mark Herron's NPI number?
- Mark Herron's National Provider Identifier (NPI) is 1255605069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Herron's specialty?
- Mark Herron is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mark Herron located?
- Mark Herron's practice location on file with NPPES is 4 Crescent St, Penacook, NH 03303-1412.
- What is Mark Herron's phone number?
- The practice phone number listed in the NPPES registry for Mark Herron is (603) 753-4302.
- Does Mark Herron accept Medicare?
- Mark Herron is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Herron's NPI active?
- Yes — Mark Herron's NPI (1255605069) is active in the NPPES registry as of the last update on 2021-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.