Active NPI 1588787568 Individual Practitioner Male Practitioner

Dr. Michael Anthony Herion , MD

Ophthalmology • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Herion, MD is a certified Ophthalmology practicing in Mesa, AZ. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Herion delivers high-quality medical care to the local community at 1500 S DOBSON RD.

Dr. Herion maintains professional affiliations with Carrot Eye Center Pllc, District Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 S Dobson Rd
Ste 313

Mesa, AZ 852024752

Telephone 4805616000

Fax 4805616003

Associated Practice Facility / Clinic

🏢 Consultants In Urology, Ltd Facility NPI 1720057466

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Mesa, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +1.1 yrs vs City Avg

City Avg: 26.9 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

29 Specialists

Practicing in Mesa, AZ (384 Statewide)

Telehealth Adoption Rate

3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herion (28 Years) 28 Yrs

Mesa Specialty Average (26.9 Years) 26.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	393	307	$89.99	$35.43
92014 Established patient complete exam of visual system	331	273	$244.69	$121.42
92136 Measurement of corneal curvature and depth of eye	171	59	$114.21	$24.48
99213 Established patient office or other outpatient visit, typically 15 minutes	153	91	$176.28	$87.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	121	$249.23	$123.86
92133 Imaging of optic nerve	89	59	$88.72	$34.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$324.54	$161.37
92134 Imaging of retina	45	35	$97.93	$38.55
66984 Removal of cataract with insertion of lens	40	27	$1761.49	$562.64
92083 Exam of visual field with extended testing	27	27	$152.41	$60.90
66821 Removal of recurring cataract in lens capsule using a laser	26	22	$969.50	$319.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$217.80	$104.51
V2632 Posterior chamber intraocular lens	22	12	$185.00	$137.29
J2280 Injection, moxifloxacin, 100 mg	21	12	$75.00	$8.60
64727 Release of nerve using operating microscope	21	12	$500.00	$171.13
64708 Release of nerve of arm or leg, open procedure	21	12	$650.00	$247.59
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	21	12	$75.00	$48.30
92250 Photography of the retina	11	11	$58.00	$19.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	299	238	$93.27	$36.07
92014 Established patient complete exam of visual system	269	212	$248.29	$122.39
99213 Established patient office or other outpatient visit, typically 15 minutes	178	109	$178.08	$87.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	111	$252.29	$123.80
92133 Imaging of optic nerve	127	71	$90.29	$34.83
92134 Imaging of retina	106	65	$99.37	$39.02
92136 Measurement of corneal curvature and depth of eye	90	31	$116.00	$24.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$328.17	$159.26
66821 Removal of recurring cataract in lens capsule using a laser	53	38	$979.25	$321.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$220.24	$106.77
66984 Removal of cataract with insertion of lens	34	26	$1750.37	$574.13
92083 Exam of visual field with extended testing	26	26	$153.38	$60.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$110.71	$54.69
92004 New patient complete exam of visual system	11	11	$294.18	$145.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	237	200	$96.00	$36.13
92014 Established patient complete exam of visual system	206	181	$249.00	$123.43
99213 Established patient office or other outpatient visit, typically 15 minutes	201	141	$180.00	$88.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	136	$254.59	$125.50
92134 Imaging of retina	166	73	$100.00	$39.56
92133 Imaging of optic nerve	128	68	$91.00	$35.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$331.00	$163.80
92136 Measurement of corneal curvature and depth of eye	57	25	$141.00	$25.53
66821 Removal of recurring cataract in lens capsule using a laser	40	28	$984.00	$322.92
66984 Removal of cataract with insertion of lens	36	22	$1640.33	$541.22
92083 Exam of visual field with extended testing	29	29	$155.00	$60.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$110.00	$55.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$221.00	$109.58
92004 New patient complete exam of visual system	16	16	$289.13	$146.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	242	159	$165.54	$89.68
92250 Photography of the retina	199	167	$95.41	$38.45
92134 Imaging of retina	186	78	$94.91	$40.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	124	$239.83	$127.59
92014 Established patient complete exam of visual system	143	125	$235.69	$124.38
92133 Imaging of optic nerve	106	59	$87.75	$36.43
92136 Measurement of corneal curvature and depth of eye	99	50	$134.09	$27.38
J7999 Compounded drug, not otherwise classified	81	19	$343.27	$90.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$313.37	$163.40
66984 Removal of cataract with insertion of lens	73	38	$1538.91	$430.73
67028 Injection of drug into eye	67	19	$456.52	$124.10
V2632 Posterior chamber intraocular lens	57	32	$185.00	$119.86
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	53	32	$75.00	$50.47
J2280 Injection, moxifloxacin, 100 mg	53	32	$75.00	$9.44
64727 Release of nerve using operating microscope	51	31	$500.00	$178.90
64708 Release of nerve of arm or leg, open procedure	51	31	$650.00	$297.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	41	$106.55	$55.12
66821 Removal of recurring cataract in lens capsule using a laser	35	25	$916.89	$327.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$211.63	$110.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	215	186	$92.93	$44.66
99213 Established patient office or other outpatient visit, typically 15 minutes	196	126	$126.97	$74.92
92134 Imaging of retina	165	75	$78.24	$40.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	115	$184.61	$108.21
92014 Established patient complete exam of visual system	117	104	$180.00	$124.96
92133 Imaging of optic nerve	77	46	$77.56	$37.21
92136 Measurement of corneal curvature and depth of eye	73	37	$103.52	$32.06
J7999 Compounded drug, not otherwise classified	70	17	$87.43	$84.77
67028 Injection of drug into eye	56	18	$377.61	$116.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$287.79	$162.24
66984 Removal of cataract with insertion of lens	36	24	$2361.17	$559.04
66821 Removal of recurring cataract in lens capsule using a laser	35	27	$755.06	$342.74
V2632 Posterior chamber intraocular lens	34	22	$185.00	$118.79
64708 Release of nerve of arm or leg, open procedure	32	22	$650.00	$273.10
J2280 Injection, moxifloxacin, 100 mg	32	22	$75.00	$8.96
64727 Release of nerve using operating microscope	32	22	$500.00	$187.04
92004 New patient complete exam of visual system	31	31	$213.38	$146.51
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	28	19	$75.00	$50.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$175.62	$105.87
92083 Exam of visual field with extended testing	11	11	$104.45	$62.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	352	260	$80.00	$40.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	269	$131.55	$108.04
92136 Measurement of corneal curvature and depth of eye	254	153	$73.82	$49.25
99213 Established patient office or other outpatient visit, typically 15 minutes	249	185	$87.92	$73.74
66984 Removal of cataract with insertion of lens	240	135	$1525.99	$608.15
92014 Established patient complete exam of visual system	156	151	$151.23	$125.99
92133 Imaging of optic nerve	140	121	$80.00	$36.54
92250 Photography of the retina	106	103	$84.00	$50.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$188.90	$163.36
66821 Removal of recurring cataract in lens capsule using a laser	94	59	$512.23	$314.97
67028 Injection of drug into eye	69	16	$255.80	$121.92
65855 Laser repair to improve eye fluid flow	64	38	$520.00	$208.62
J7999 Compounded drug, not otherwise classified	57	13	$80.53	$78.04
J9035 Injection, bevacizumab, 10 mg	46	12	$67.39	$59.96
92004 New patient complete exam of visual system	46	46	$202.79	$150.46
92083 Exam of visual field with extended testing	36	36	$108.75	$62.14
92012 Established patient problem focused exam of visual system	31	28	$96.19	$87.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$140.64	$102.73
92025 Ct scan of cornea	17	17	$45.00	$36.02
76514 Ultrasound scan of cornea to determine thickness	14	14	$20.00	$11.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$55.78	$44.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	917	730	$115.24	$105.79
92134 Imaging of retina	711	502	$80.00	$40.62
92136 Measurement of corneal curvature and depth of eye	370	194	$68.19	$48.41
66984 Removal of cataract with insertion of lens	280	170	$1697.16	$623.21
66821 Removal of recurring cataract in lens capsule using a laser	268	164	$589.87	$307.28
92133 Imaging of optic nerve	205	148	$79.98	$36.97
99213 Established patient office or other outpatient visit, typically 15 minutes	200	168	$82.19	$71.59
67028 Injection of drug into eye	118	58	$180.59	$107.51
J7999 Compounded drug, not otherwise classified	115	54	$85.00	$75.15
92014 Established patient complete exam of visual system	109	106	$130.00	$124.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$185.00	$160.56
65855 Laser repair to improve eye fluid flow	77	43	$558.83	$205.98
92083 Exam of visual field with extended testing	54	54	$109.00	$63.00
92250 Photography of the retina	53	53	$84.00	$54.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg	53	25	$24.53	$0.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	35	$52.00	$42.97
76514 Ultrasound scan of cornea to determine thickness	23	23	$20.00	$14.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$165.00	$142.56
92025 Ct scan of cornea	17	17	$45.35	$33.92
92012 Established patient problem focused exam of visual system	15	15	$95.00	$83.66
66982 Complex removal of cataract with insertion of prosthetic lens	14	12	$2043.43	$696.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$120.00	$106.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,690	989	$115.00	$105.40
92134 Imaging of retina	1,522	808	$80.00	$40.33
J7999 Compounded drug, not otherwise classified	480	133	$85.30	$72.28
67028 Injection of drug into eye	423	140	$177.30	$109.96
92133 Imaging of optic nerve	410	269	$80.00	$36.74
92136 Measurement of corneal curvature and depth of eye	352	134	$50.65	$40.42
92014 Established patient complete exam of visual system	305	283	$130.00	$121.95
66984 Removal of cataract with insertion of lens	224	125	$2193.00	$630.89
66821 Removal of recurring cataract in lens capsule using a laser	211	133	$723.00	$307.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	200	189	$165.00	$142.12
92250 Photography of the retina	180	170	$84.00	$64.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$185.00	$161.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg	120	49	$25.67	$0.12
65855 Laser repair to improve eye fluid flow	114	58	$650.00	$206.01
92083 Exam of visual field with extended testing	110	105	$109.00	$59.82
99213 Established patient office or other outpatient visit, typically 15 minutes	109	90	$82.00	$71.04
76514 Ultrasound scan of cornea to determine thickness	68	67	$20.00	$13.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$225.00	$203.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$52.00	$42.88

Medical Specialties & State Licenses

CMS Verified: 2021-03-18

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AZ 30486

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

765282 (AZ)

Hospital & Practice Group Affiliations

District Medical Group Inc

2525 E Roosevelt St, Phoenix, AZ 850084948

Phone: 6023441015

Carrot Eye Center Pllc

1500 S Dobson Rd, Mesa, AZ 852024752

Phone: 4805616000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Blake Henson , OD

Optometrist

NPI 1144712225

Doctor of Optometry

Dr. Matthew Hammond , MD

Ophthalmology

NPI 1902829799

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 18, 2021

Registered at 1500 S DOBSON RD, STE 313, MESA, AZ 852024752 (Tel: 4805616000)

📍

Updated Business Mailing Address March 18, 2021

Registered at 1500 S DOBSON RD, STE 313, MESA, AZ 852024752 (Tel: 4805616000)

✅

NPI Profile Active February 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2012

Registered at 6320A W UNION HILLS DR, SUITE 200, GLENDALE, AZ 853087177 (Tel: 6234358346)

📍

Updated Business Mailing Address February 24, 2012

Registered at 19420 N. 59TH AVE, SUITE B233, GLENDALE, AZ 85308 (Tel: 6232342542)

👤

Provider Name / Credentials Updated February 24, 2012

Recorded as MICHAEL HERION, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2012

Ophthalmology (License #30486 in AZ)

🟢

Initial NPI Registration & Enumeration April 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588787568

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 06, 2007

Last Update: March 18, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1500 S Dobson Rd, Ste 313

Mesa, AZ 852024752

Phone: 4805616000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.