Marko Herceg, PH.D.
NPI 1275519407 · Clinical Neuropsychologist · Irvington, NY
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marko Herceg, PH.D. is a Clinical Neuropsychologist provider in Irvington, NY (NPI 1275519407).
Provider details
- NPI number
- 1275519407
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 014306-01 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
99 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Psychotherapy, 45 Minutes90834 | 53 | $113 |
| Psychiatric Diagnostic Evaluation90791 | 46 | $188 |
Typical Medicare-allowed amounts for these services range $113–$188 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Frequently asked questions
- What is Marko Herceg's NPI number?
- Marko Herceg's National Provider Identifier (NPI) is 1275519407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marko Herceg's specialty?
- Marko Herceg is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Marko Herceg located?
- Marko Herceg's practice location on file with NPPES is 90 N Broadway Ste 207, Irvington, NY 10533-3200.
- What is Marko Herceg's phone number?
- The practice phone number listed in the NPPES registry for Marko Herceg is (914) 419-3936.
- Does Marko Herceg accept Medicare?
- Marko Herceg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marko Herceg's NPI active?
- Yes — Marko Herceg's NPI (1275519407) is active in the NPPES registry as of the last update on 2021-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.