Active NPI 1285751107 Individual Practitioner Male Practitioner

Dr. Mark David Herndon , MD

Surgery • Clinton, SC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Herndon, MD is a certified Surgery practicing in Clinton, SC. With approximately 21 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2005, Dr. Herndon delivers high-quality medical care to the local community at 1012 MEDICAL RIDGE RD.

Dr. Herndon is affiliated with Prisma Health University Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, removal of muscle and/or tissue, 20.0 sq cm or less, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1012 Medical Ridge Rd

Clinton, SC 293254542

Telephone 8648223852

Fax 8649380501

Associated Practice Facility / Clinic

🏢 Lchcs Dba Wilson And Mccormack Surgical Services Facility NPI 1336439314

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clinton, SC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -7.6 yrs vs City Avg

City Avg: 28.6 Yrs

State Avg: 28.3 Yrs

Regional Practice Density

7 Specialists

Practicing in Clinton, SC (681 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herndon (21 Years) 21 Yrs

Clinton Specialty Average (28.6 Years) 28.6 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
11042 Removal of skin and tissue, 20.0 sq cm or less	90	24	$209.00	$47.45
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	55	17	$544.00	$132.78
97597 Removal of tissue from wound, 20.0 sq cm or less	50	19	$83.00	$33.31
99213 Established patient office or other outpatient visit, typically 15 minutes	46	28	$124.00	$61.83
99221 Initial hospital inpatient care per day, typically 30 minutes	40	40	$200.00	$77.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$208.00	$104.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$277.00	$122.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$93.00	$46.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$183.00	$91.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$238.00	$119.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$149.00	$74.13
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$168.00	$84.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$155.00	$77.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	76	27	$83.00	$33.90
11042 Removal of skin and tissue, 20.0 sq cm or less	66	23	$209.00	$53.11
99213 Established patient office or other outpatient visit, typically 15 minutes	58	31	$101.24	$62.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	30	$211.29	$119.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	18	$161.19	$92.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$206.25	$105.08
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$144.00	$84.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$277.00	$123.43
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$200.00	$75.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$149.00	$75.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$83.63	$47.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$531.00	$73.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	140	25	$83.00	$34.91
99213 Established patient office or other outpatient visit, typically 15 minutes	82	27	$100.00	$63.96
11042 Removal of skin and tissue, 20.0 sq cm or less	58	21	$209.00	$55.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	23	$156.00	$94.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	19	$149.00	$67.70
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$144.00	$86.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$277.00	$128.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$206.00	$106.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$209.00	$121.39
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$200.00	$95.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$83.00	$36.73
45380 Biopsy of large bowel using an endoscope	13	13	$805.00	$109.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$531.00	$74.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	283	39	$83.00	$35.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	30	$65.00	$34.80
11042 Removal of skin and tissue, 20.0 sq cm or less	52	19	$209.00	$48.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	30	$83.00	$36.79
99221 Initial hospital inpatient care per day, typically 30 minutes	31	30	$200.00	$95.20
99213 Established patient office or other outpatient visit, typically 15 minutes	26	17	$100.00	$65.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$86.00	$51.13
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$144.00	$88.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$149.00	$67.30
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	20	12	$544.00	$139.18
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$146.00	$67.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$277.00	$131.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$531.00	$85.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$206.00	$108.30
45380 Biopsy of large bowel using an endoscope	11	11	$805.00	$163.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	242	34	$83.34	$36.08
11042 Removal of skin and tissue, 20.0 sq cm or less	41	20	$209.00	$56.07
99213 Established patient office or other outpatient visit, typically 15 minutes	37	29	$100.00	$49.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	23	$149.00	$70.76
99221 Initial hospital inpatient care per day, typically 30 minutes	34	34	$200.00	$99.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	20	$83.00	$38.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$206.00	$103.13
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$143.13	$71.84
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$531.00	$97.93
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$146.00	$72.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$209.00	$104.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	95	29	$359.16	$58.97
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	58	21	$690.09	$151.16
99213 Established patient office or other outpatient visit, typically 15 minutes	51	44	$149.41	$70.52
99213 Established patient office or other outpatient visit, typically 15 minutes	47	33	$147.91	$49.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$217.40	$103.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	33	$420.18	$197.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	15	$320.00	$101.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$970.38	$96.42
97597 Removal of tissue from wound, 20.0 sq cm or less	23	16	$248.48	$23.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$209.50	$74.33
45380 Biopsy of large bowel using an endoscope	15	15	$1189.80	$157.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	137	42	$361.12	$56.88
99213 Established patient office or other outpatient visit, typically 15 minutes	99	77	$148.74	$56.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$216.77	$95.15
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	64	13	$706.00	$146.18
11042 Removal of skin and tissue, 20.0 sq cm or less	39	18	$360.62	$53.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	28	$373.63	$188.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	26	$1003.81	$106.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	13	$320.00	$97.32
97597 Removal of tissue from wound, 20.0 sq cm or less	18	15	$256.00	$22.51
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$148.50	$47.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$335.00	$150.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	87	$131.55	$64.10
11042 Removal of skin and tissue, 20.0 sq cm or less	92	37	$307.98	$87.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$211.02	$96.04
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	47	19	$655.40	$182.49
11042 Removal of skin and tissue, 20.0 sq cm or less	35	15	$291.00	$57.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	30	$900.94	$95.70
97597 Removal of tissue from wound, 20.0 sq cm or less	26	19	$134.04	$56.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$420.00	$190.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$101.00	$39.72
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	18	12	$628.56	$140.19
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1517.00	$248.04
45380 Biopsy of large bowel using an endoscope	14	14	$1178.00	$169.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$296.67	$151.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$184.58	$98.73

Medical Specialties & State Licenses

CMS Verified: 2021-05-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License SC 32321

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License GA 58753

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

323215 (SC)

Hospital & Practice Group Affiliations

Prisma Health University Medical Group

1012 Medical Ridge Rd, Clinton, SC 293254542

Phone: 8648333852

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Stephen Bayuk , DO

Surgery

NPI 1134322571

Doctor of Osteopathic Medicine (D.O.)

Aaron Price

Surgery

NPI 1134680192

Dr. Bruce Marshall , MD, PA

Surgery

NPI 1578564688

Doctor of Medicine (M.D.), Physician Assistant

Dr. Rufus Watkins , MD

Surgery

NPI 1699774752

Doctor of Medicine (M.D.)

Dr. Carter Mccormack , MD

Surgery

NPI 1710970520

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address May 25, 2021

Registered at 300 E MCBEE AVE FL 4, GREENVILLE, SC 296012842

📍

Updated Practice Location October 11, 2019

Registered at 1012 MEDICAL RIDGE RD, CLINTON, SC 293254542 (Tel: 8648223852)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2019

Surgery (License #58753 in GA)

✅

NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2016

Registered at 218 FALLS RD, TOCCOA, GA 305771631 (Tel: 7062977877)

📍

Updated Business Mailing Address August 15, 2016

Registered at 218 FALLS RD, TOCCOA, GA 305771631 (Tel: 7062977877)

👤

Provider Name / Credentials Updated August 15, 2016

Recorded as MARK HERNDON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Surgery (License #58753 in GA)

🟢

Initial NPI Registration & Enumeration March 24, 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: 1285751107

Entity Type:

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

Enumeration Date: March 24, 2007

Last Update: May 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 E Mcbee Ave Fl 4

Greenville, SC 296012842

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.