Active NPI 1093937468 Individual Practitioner Female Practitioner

Dr. Margo S Herron , MD

Surgery - Plastic and Reconstructive Surgery • Ashland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Margo Herron, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Ashland, OR. With approximately 24 years of clinical experience since graduating from Indiana University School Of Medicine in 2002, Dr. Herron delivers high-quality medical care to the local community at 638 N MAIN ST STE C.

Dr. Herron accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

638 N Main St Ste C

Ashland, OR 975201887

Telephone 5417085433

Fax 5417085434

Associated Practice Facility / Clinic

🏢 Elizabeth Institute, Llc Facility NPI 1518258847

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Ashland, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs Matches City Avg

City Avg: 24.0 Yrs

State Avg: 17.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Ashland, OR (24 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herron (24 Years) 24 Yrs

Ashland Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$489.00	$158.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$489.00	$162.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$489.00	$160.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$489.00	$149.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$319.00	$106.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$126.00	$44.39
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$213.00	$73.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$319.00	$99.24
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$220.00	$69.26
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	21	$812.00	$166.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$489.00	$151.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$126.00	$40.53
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$808.00	$170.16
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	14	$923.00	$248.45
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$213.00	$67.19
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$2374.00	$626.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$220.00	$67.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$319.00	$98.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$126.00	$39.60
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$213.00	$66.82
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	12	$923.00	$209.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$489.00	$148.95
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$812.00	$120.06
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	11	11	$808.00	$180.99

Medical Specialties & State Licenses

CMS Verified: 2021-01-18

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License OR MD153865

A surgeon who specializes in plastic and reconstructive surgery.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License OR MD153865

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500636211 (OR)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Sarah Hughes , MSN, APRN, FNP-C

Nurse Practitioner - Primary Care

NPI 1366057101

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2014

Registered at 638 N MAIN ST STE C, ASHLAND, OR 975201887 (Tel: 5417085433)

📍

Updated Business Mailing Address February 04, 2014

Registered at 638 N MAIN ST STE C, ASHLAND, OR 975201887 (Tel: 5417085433)

👤

Provider Name / Credentials Updated February 04, 2014

Recorded as MARGO HERRON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2014

Plastic Surgery (License #MD153865 in OR)

🟢

Initial NPI Registration & Enumeration May 03, 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: 1093937468

Entity Type:

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

Enumeration Date: May 03, 2007

Last Update: January 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

638 N Main St Ste C

Ashland, OR 975201887

Phone: 5417085433

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.