Mark Herron, M.D.
NPI 1942271812 · Dermatology Physician · Montgomery, AL
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Herron, M.D. is a Dermatology Physician provider in Montgomery, AL (NPI 1942271812).
Provider details
- NPI number
- 1942271812
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 21157 (AL)
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
5,959 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,627 | $83 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 963 | $47 |
| Biopsy of Related Skin Growth, First Growth11102 | 634 | $79 |
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 613 | $6 |
| Destruction of Skin Growth, 1-14 Growths17110 | 481 | $98 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mupirocin | 871 | 617 |
| Triamcinolone Acetonide | 191 | 141 |
| Fluorouracil | 160 | 137 |
| Hydrocortisone | 141 | 105 |
| Doxycycline Monohydrate | 128 | 71 |
| Betamethasone Dipropionate | 106 | 60 |
| Ketoconazole | 92 | 32 |
| Cephalexin | 72 | 50 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,511 across 111 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
- 2006-01-30
- Last updated
- 2010-04-14
Frequently asked questions
- What is Mark Herron's NPI number?
- Mark Herron's National Provider Identifier (NPI) is 1942271812, 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 Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Herron located?
- Mark Herron's practice location on file with NPPES is 7260 Halcyon Summit Dr, Montgomery, AL 36117-7047.
- What is Mark Herron's phone number?
- The practice phone number listed in the NPPES registry for Mark Herron is (334) 277-3332.
- 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 (1942271812) is active in the NPPES registry as of the last update on 2010-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.