Mark Herbert, M.D.
NPI 1902875123 · Infectious Disease Physician · Columbus, OH
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Herbert, M.D. is a Infectious Disease Physician provider in Columbus, OH (NPI 1902875123).
Provider details
- NPI number
- 1902875123
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35053795 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
231 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 65 | $69 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 58 | $118 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 52 | $164 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 44 | $107 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 12 | $171 |
Typical Medicare-allowed amounts for these services range $69–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 49 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 116 | 30 |
| Omeprazole | 73 | 19 |
| Cephalexin | 58 | 23 |
| Doxycycline Hyclate | 47 | 13 |
| Lisinopril | 46 | 14 |
| Gabapentin | 44 | — |
| Dolutegravir/Rilpivirinebrand: Juluca | 39 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$247 across 11 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
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Frequently asked questions
- What is Mark Herbert's NPI number?
- Mark Herbert's National Provider Identifier (NPI) is 1902875123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Herbert's specialty?
- Mark Herbert is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Herbert located?
- Mark Herbert's practice location on file with NPPES is 775 W Broad St Ste 200, Columbus, OH 43222-1471.
- What is Mark Herbert's phone number?
- The practice phone number listed in the NPPES registry for Mark Herbert is (614) 627-1610.
- Does Mark Herbert accept Medicare?
- Mark Herbert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Herbert's NPI active?
- Yes — Mark Herbert's NPI (1902875123) is active in the NPPES registry as of the last update on 2025-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.