Active NPI 1225003064 Individual Practitioner Male Practitioner

Dr. Marshall Todd Herron , DPM

Podiatrist • Athens, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marshall Herron, DPM is a certified Podiatrist practicing in Athens, GA. With approximately 33 years of clinical experience since graduating from Barry University School Of Podiatric Medicine in 1993, Dr. Herron delivers high-quality medical care to the local community at 230 CEDAR POINTE DR.

Dr. Herron accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of fingernails or toenails, simple separation of fingernail or toenail from nail bed, first nail. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

230 Cedar Pointe Dr

Athens, GA 306053339

Telephone 7065493668

Fax 7066135069

Associated Practice Facility / Clinic

🏢 Anthony R. Gordon Dpm, Pc Facility NPI 1770280877

Medicare Profile & Education

Medical School

Barry University School Of Podiatric Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Athens, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -0.5 yrs vs City Avg

City Avg: 33.5 Yrs

State Avg: 24.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Athens, GA (249 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herron (33 Years) 33 Yrs

Athens Specialty Average (33.5 Years) 33.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	768	293	$173.58	$89.58
11721 Removal of fingernails or toenails, 6 or more nails	597	156	$108.01	$43.43
11730 Simple separation of fingernail or toenail from nail bed, first nail	437	295	$249.87	$109.90
17110 Destruction of up to 14 skin growths	396	147	$259.65	$103.15
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	206	174	$75.38	$32.07
11042 Removal of skin and tissue, 20.0 sq cm or less	141	64	$276.27	$123.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$256.60	$110.22
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	50	20	$545.52	$229.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	685	289	$173.58	$84.50
11721 Removal of fingernails or toenails, 6 or more nails	625	182	$108.01	$41.20
11730 Simple separation of fingernail or toenail from nail bed, first nail	393	289	$249.87	$105.56
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	330	258	$75.38	$31.12
17110 Destruction of up to 14 skin growths	273	104	$259.65	$99.82
11042 Removal of skin and tissue, 20.0 sq cm or less	99	53	$276.27	$117.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$256.60	$105.28
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	52	23	$545.52	$216.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	685	283	$173.58	$85.31
11721 Removal of fingernails or toenails, 6 or more nails	595	187	$108.01	$41.39
11730 Simple separation of fingernail or toenail from nail bed, first nail	500	301	$249.87	$108.00
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	448	280	$75.38	$31.87
17110 Destruction of up to 14 skin growths	167	65	$259.65	$101.49
11042 Removal of skin and tissue, 20.0 sq cm or less	73	28	$276.27	$120.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$256.60	$105.98
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	38	16	$545.52	$219.82
99335 Established patient assisted living visit, typically 25 minutes	19	14	$230.55	$89.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,088	423	$249.87	$109.28
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	999	396	$75.38	$32.29
11721 Removal of fingernails or toenails, 6 or more nails	598	197	$108.01	$42.16
99213 Established patient office or other outpatient visit, typically 15 minutes	291	175	$173.58	$86.81
17110 Destruction of up to 14 skin growths	158	54	$259.65	$96.41
99335 Established patient assisted living visit, typically 25 minutes	122	60	$230.55	$91.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$256.60	$106.82
11042 Removal of skin and tissue, 20.0 sq cm or less	63	26	$276.27	$120.49
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	48	16	$545.52	$223.26
99325 New patient assisted living visit, typically 30 minutes	25	25	$267.37	$76.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,277	467	$249.87	$100.68
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	1,223	453	$75.38	$30.83
11721 Removal of fingernails or toenails, 6 or more nails	595	199	$108.01	$42.10
17110 Destruction of up to 14 skin growths	149	53	$259.65	$91.69
99335 Established patient assisted living visit, typically 25 minutes	137	50	$230.55	$89.82
99213 Established patient office or other outpatient visit, typically 15 minutes	136	89	$173.58	$69.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$256.60	$99.20
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	44	23	$545.52	$216.34
99325 New patient assisted living visit, typically 30 minutes	39	39	$267.37	$75.18
11042 Removal of skin and tissue, 20.0 sq cm or less	27	13	$276.27	$113.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$256.89	$101.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11730 Simple separation of fingernail or toenail from nail bed, first nail	1,033	367	$249.87	$100.52
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	990	358	$75.38	$31.24
11721 Removal of fingernails or toenails, 6 or more nails	719	229	$108.01	$43.41
17110 Destruction of up to 14 skin growths	184	56	$259.65	$102.22
99335 Established patient assisted living visit, typically 25 minutes	158	45	$230.55	$92.47
99213 Established patient office or other outpatient visit, typically 15 minutes	154	87	$173.58	$70.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	151	151	$256.60	$103.48
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	107	38	$545.52	$221.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	72	$256.89	$103.71
11042 Removal of skin and tissue, 20.0 sq cm or less	29	24	$276.27	$112.99
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	12	11	$198.54	$121.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$394.05	$158.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11730 Simple separation of fingernail or toenail from nail bed, first nail	805	313	$249.85	$92.96
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	735	296	$75.39	$28.53
11721 Removal of fingernails or toenails, 6 or more nails	694	216	$108.01	$40.89
17110 Destruction of up to 14 skin growths	208	73	$259.65	$98.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	184	127	$103.40	$39.25
99213 Established patient office or other outpatient visit, typically 15 minutes	130	94	$173.58	$65.59
11042 Removal of skin and tissue, 20.0 sq cm or less	129	37	$276.27	$104.84
99202 New patient office or other outpatient visit, typically 20 minutes	111	111	$177.88	$67.46
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	73	23	$146.02	$55.20
29540 Placement of strapping to ankle or foot	18	15	$63.56	$23.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$256.60	$97.26
99324 New patient assisted living visit, typically 20 minutes	13	13	$134.27	$50.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11730 Simple separation of fingernail or toenail from nail bed, first nail	769	306	$245.88	$89.37
11721 Removal of fingernails or toenails, 6 or more nails	708	213	$106.05	$39.75
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	615	259	$75.28	$28.14
17110 Destruction of up to 14 skin growths	223	70	$255.70	$95.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	169	116	$102.24	$38.36
11042 Removal of skin and tissue, 20.0 sq cm or less	143	49	$271.46	$101.87
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	76	24	$145.57	$54.31
99213 Established patient office or other outpatient visit, typically 15 minutes	62	51	$173.05	$64.81
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$176.56	$66.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$254.36	$95.77

Medical Specialties & State Licenses

CMS Verified: 2022-07-06

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License GA POD000733

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000627228B (GA)

Commercial Insurance / Payer ID Railroad Medicare

480017437 (GA)

Commercial Insurance / Payer ID Cigna

6521170 (GA)

Commercial Insurance / Payer ID Wellcare

378560 (GA)

Commercial Insurance / Payer ID Amerigroup

10076000 (GA)

Commercial Insurance / Payer ID Medicare Dmerc

1015170002 (GA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Anthony Gordon , DPM

Podiatrist - Foot Surgery

NPI 1386602464

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 15, 2008

Registered at 230 CEDAR POINTE DR, ATHENS, GA 306053339 (Tel: 7065493668)

📍

Updated Business Mailing Address May 15, 2008

Registered at 230 CEDAR POINTE DR, ATHENS, GA 306053339 (Tel: 7065493668)

👤

Provider Name / Credentials Updated May 15, 2008

Recorded as MARSHALL HERRON, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2008

Podiatrist (License #POD000733 in GA)

🟢

Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225003064

Entity Type:

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

Enumeration Date: February 22, 2006

Last Update: July 06, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

230 Cedar Pointe Dr

Athens, GA 306053339

Phone: 7065493668

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.