Active NPI 1902883366 Individual Practitioner Male Practitioner

Dr. Mark A Herman , MD

Surgery • Rochester Hills, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Herman, MD is a certified Surgery practicing in Rochester Hills, MI. With approximately 32 years of clinical experience since graduating from Wayne State University School Of Medicine in 1994, Dr. Herman delivers high-quality medical care to the local community at 1701 SOUTH BLVD E.

Dr. Herman is affiliated with Premier Surgical Specialists Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 South Blvd E
Ste 270

Rochester Hills, MI 483076122

Telephone 2488533100

Fax 2488534300

Associated Practice Facility / Clinic

🏢 Charles G.colombo, M.d., P.c. Facility NPI 1598761827

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rochester Hills, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +9.4 yrs vs City Avg

City Avg: 22.6 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

20 Specialists

Practicing in Rochester Hills, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herman (32 Years) 32 Yrs

Rochester Hills Specialty Average (22.6 Years) 22.6 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	60	$120.00	$79.14
99213 Established patient office or other outpatient visit, typically 15 minutes	81	39	$150.00	$70.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	63	$250.00	$131.96
11042 Removal of skin and tissue, 20.0 sq cm or less	46	19	$150.00	$62.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$175.00	$93.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$250.00	$169.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	21	$200.00	$122.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	11	$120.00	$41.88
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$140.00	$84.55
49650 Repair of groin hernia using an endoscope	11	11	$1840.91	$569.38
49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length	11	11	$2000.00	$251.23
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1700.00	$342.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	126	78	$120.00	$80.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	71	$250.00	$133.05
99213 Established patient office or other outpatient visit, typically 15 minutes	62	37	$150.00	$73.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$250.00	$166.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	19	$71.67	$40.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$154.00	$90.36
11042 Removal of skin and tissue, 20.0 sq cm or less	34	17	$150.00	$61.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$200.00	$120.82
49650 Repair of groin hernia using an endoscope	15	15	$1750.00	$545.16
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$140.00	$85.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	64	$118.45	$73.72
99213 Established patient office or other outpatient visit, typically 15 minutes	93	50	$150.00	$76.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	66	$244.42	$138.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	37	$73.47	$40.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	33	$198.72	$124.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	23	$60.00	$41.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$250.00	$174.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$140.00	$98.79
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$140.00	$105.68
97597 Removal of tissue from wound, 20.0 sq cm or less	18	11	$110.00	$38.43
47562 Removal of gallbladder using an endoscope	11	11	$2300.00	$734.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	34	$110.56	$76.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	50	$60.00	$39.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$250.00	$174.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	41	$100.00	$74.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	26	$60.00	$38.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$195.00	$142.16
11042 Removal of skin and tissue, 20.0 sq cm or less	38	13	$150.00	$64.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$140.00	$102.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$150.00	$131.78
97597 Removal of tissue from wound, 20.0 sq cm or less	25	15	$110.00	$37.74
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$140.00	$102.12
49650 Repair of groin hernia using an endoscope	20	20	$1762.50	$544.83
49560 Repair of incisional or abdominal hernia	13	12	$1838.46	$639.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	65	$60.00	$41.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	50	$97.73	$76.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	27	$60.00	$30.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	48	$195.00	$146.57
99213 Established patient office or other outpatient visit, typically 15 minutes	47	25	$100.00	$55.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$140.00	$95.76
99221 Initial hospital inpatient care per day, typically 30 minutes	33	33	$140.00	$109.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$150.00	$103.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$246.19	$173.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$185.00	$152.89
99218 Hospital observation care typically 30 minutes	13	13	$175.00	$105.90
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$110.00	$58.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	53	$60.00	$40.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	30	$60.00	$26.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	60	$195.00	$137.86
99213 Established patient office or other outpatient visit, typically 15 minutes	60	31	$100.00	$57.06
11042 Removal of skin and tissue, 20.0 sq cm or less	46	13	$150.00	$64.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$140.00	$95.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	26	$85.00	$75.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$230.00	$167.84
97597 Removal of tissue from wound, 20.0 sq cm or less	29	16	$110.00	$23.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$150.00	$107.30
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$140.00	$106.49
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$1700.00	$369.62
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$91.43	$60.09
99218 Hospital observation care typically 30 minutes	13	12	$175.00	$95.95
47562 Removal of gallbladder using an endoscope	12	12	$2300.00	$738.88
49650 Repair of groin hernia using an endoscope	11	11	$1772.73	$564.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	188	95	$60.00	$40.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	61	$195.00	$141.98
99213 Established patient office or other outpatient visit, typically 15 minutes	58	34	$100.00	$55.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	34	$60.00	$28.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$140.00	$95.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$230.00	$167.17
99221 Initial hospital inpatient care per day, typically 30 minutes	34	31	$140.00	$106.17
11042 Removal of skin and tissue, 20.0 sq cm or less	31	14	$150.00	$59.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$150.00	$92.65
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$1700.00	$345.04
97597 Removal of tissue from wound, 20.0 sq cm or less	16	13	$110.00	$23.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$185.00	$148.22
47562 Removal of gallbladder using an endoscope	14	14	$2300.00	$705.99
99218 Hospital observation care typically 30 minutes	14	14	$175.00	$103.99
49650 Repair of groin hernia using an endoscope	13	13	$1788.46	$529.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	230	114	$60.00	$38.15
99213 Established patient office or other outpatient visit, typically 15 minutes	89	45	$100.00	$54.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	38	$60.00	$26.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	77	$195.00	$134.31
11042 Removal of skin and tissue, 20.0 sq cm or less	53	23	$150.00	$62.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$230.00	$161.63
99221 Initial hospital inpatient care per day, typically 30 minutes	45	44	$140.00	$99.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$140.00	$86.23
97597 Removal of tissue from wound, 20.0 sq cm or less	38	21	$109.66	$22.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	26	26	$1700.00	$341.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$150.00	$94.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$185.00	$140.10
47562 Removal of gallbladder using an endoscope	16	16	$2300.00	$693.18
99218 Hospital observation care typically 30 minutes	16	14	$175.00	$99.02
49650 Repair of groin hernia using an endoscope	13	13	$1557.69	$465.78
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$90.00	$58.74

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301063793

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Premier Surgical Specialists Pc

1701 S Blvd E, Rochester Hills, MI 483076116

Phone: 2488533100

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Anastasia Stevens-Chase , MD

Surgery

NPI 1174900260

Doctor of Medicine (M.D.)

Dr. Nichole Urban , MD

Surgery

NPI 1417157991

Doctor of Medicine (M.D.)

Dr. Bruce Mcintosh , MD

Surgery

NPI 1669451621

Doctor of Medicine (M.D.)

Dr. Gari Martinovski , MD

Surgery

NPI 1710320932

Doctor of Medicine (M.D.)

Monique Chagnon-Bicego , PA

Physician Assistant

NPI 1861468787

Physician Assistant

Dr. Michael Lucas , MD

Surgery

NPI 1912980160

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 01, 2011

Registered at 1701 SOUTH BLVD E, STE 270, ROCHESTER HILLS, MI 483076122 (Tel: 2488533100)

📍

Updated Business Mailing Address April 01, 2011

Registered at 1701 SOUTH BLVD E, STE 270, ROCHESTER HILLS, MI 483076122 (Tel: 2488533100)

👤

Provider Name / Credentials Updated April 01, 2011

Recorded as MARK HERMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2011

Surgery (License #4301063793 in MI)

🟢

Initial NPI Registration & Enumeration December 28, 2005

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: 1902883366

Entity Type:

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

Enumeration Date: December 28, 2005

Last Update: April 01, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1701 South Blvd E, Ste 270

Rochester Hills, MI 483076122

Phone: 2488533100

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.