NPI registry status
Active
2026 NPPES data Neurology Physician NPI 1043251598 MD
Verify on CMS → Herbert Markley, MD
Neurology Physician in Worcester, Massachusetts.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 20,467 in Neurology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
3K
Medicare Part D claims · 240 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$8.9K
141 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Herbert Markley, MD filed 2,886 Medicare Part D claims in 2024 as a Neurology Physician in Worcester, Massachusetts, prescribing 65% generic.
- 3K
- Part D claims, 2024
- 65%
- generic prescribing
- $8.9K
- industry payments (Sunshine Act)
- ≥88th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Herbert Markley, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1043251598), first enumerated 06/08/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 2,886 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Reported
Industry payment transparency
$8.9K in reported industry payments (141 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Massachusetts statewide board action statistics are published annually — these figures describe aggregate state activity, not Herbert Markley, MD's individual license status. Verify directly with the state medical board.
Source: BORIM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
Compare Markley with other Neurology Physician providers
Same primary specialty, same federal CMS NPPES roster.
Also enrolled in Massachusetts
- Bardia Abbasi Boston, MA
- Dr. Shabbir Abbasi, M.D. Leominster, MA
- Dr. Lobna Abdelwahab, MD Fall River, MA
- Dr. Widad Abou Chaar, MD Boston, MA
- Dr. Mahmoud Abu-Ata, M.D. Boston, MA
- Dr. Diler Acar, MD Boston, MA
Other specialties in Worcester: Behavior Technician (1,494) · Student in an Organized Health Care Education/Training Program (1,144) · Mental Health Counselor (925) · Developmental Therapist (772)
CMS NPPES provider registry desk
NPI 1043251598 · Neurology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-MID · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1043251598
- ENUM-LEGACY 2006
- TAX-MID 20K Neurology Physician
- RX-MID 2,886
- BOOK-LIGHT 910 in Massachusetts
- PHOTO-ENUM John Lynch, MD · 2006
Herbert Markley, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
2,886 ≥ 88th percentile 88% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
Board-eligible specialty (heuristic, not verified)
Herbert Markley, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Herbert Markley, MD?
Quality data not reportedPrimary specialty
Neurology Physician
Medicare Part D claims
2,886 113% vs specialty avg
Specialty distribution in Massachusetts
How Neurology Physician compares to other specialties among Massachusetts providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Neurology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1043251598 |
|---|---|
| Specialty | Neurology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/08/2006 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Herbert Markley, MD. Source: openpaymentsdata.cms.gov.
Total received
$8.9K
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Massachusetts BORIM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Herbert Markley, MD. To verify Herbert Markley, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases
BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Herbert Markley, MD - brand share 35.0%
Neurology Physician average
35% brand-name claims vs 65% generic, on 2,886 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
2,886
Total Claims
$1.4M
Total Drug Cost
240
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,389.6
- Total Day Supply
- 125,813
- Brand vs Generic
- 35% brand / 65% generic
- Brand Drug Cost
- $1.3M
- Generic Drug Cost
- $100K
- Opioid Claims
- 20 (0.7% rate)
Patient Demographics
- Average Patient Age
- 64.1 years
- Avg HCC Risk Score
- 1.15
- Gender Split
- 73% female / 27% male
- Age Distribution
- <65: 89, 65-74: 113, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Herbert Markley, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Duloxetine Hcl
Duloxetine Hcl
180 claims
- Gabapentin
Gabapentin
164 claims
- Nurtec Odt
Nurtec Odt
158 claims
- Ondansetron Hcl
Ondansetron Hcl
147 claims
- Emgality Pen
Emgality Pen
139 claims
- Pregabalin
Pregabalin
132 claims
- Qulipta
Qulipta
132 claims
- Ubrelvy
Ubrelvy
123 claims
| Drug | Claims |
|---|---|
| Duloxetine Hcl | 180 |
| Gabapentin | 164 |
| Nurtec Odt Rimegepant Sulfate | 158 |
| Ondansetron Hcl | 147 |
| Emgality Pen Galcanezumab-Gnlm | 139 |
| Pregabalin | 132 |
| Qulipta Atogepant | 132 |
| Ubrelvy Ubrogepant | 123 |
| Ajovy Autoinjector Fremanezumab-Vfrm | 121 |
| Botox Onabotulinumtoxina | 117 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neurology Physician Overview
How Herbert Markley, MD fits within the Neurology Physician landscape nationally.
20,467
Neurology Physician Providers in US
54
States with Neurology Physician
1,356
Avg Claims per Provider
Herbert Markley, MD's 2,886 claims are above the specialty average of 1,356.
Nationwide Neurology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Markley, both outside Massachusetts so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Neurology Physician Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Markley.
One of 910 Neurology Physician providers enrolled in Massachusetts, 11 are shown on this page.
Dr. Albert Ackil
M.D.
North Easton, MA
Dr. Octavian Adam
M.D.
Springfield, MA
Dr. Josna Adusumilli
MD
Worcester, MA
Dr. Pegah Afra
M.D.
Worcester, MA
Dr. Fnu Afrah Shibu
MD
Boston, MA
Compare Neurology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Herbert Markley, MD's specialty? ▼
Herbert Markley, MD specializes in Neurology Physician and practices in Worcester, Massachusetts. Credentials: MD.
How much does Herbert Markley, MD prescribe under Medicare Part D? ▼
In 2024, Herbert Markley, MD wrote 2,886 Medicare Part D claims totaling $1.4M in drug costs for 240 beneficiaries.
Where is Herbert Markley, MD located? ▼
Herbert Markley, MD is located at 85 PRESCOTT ST STE 101, Worcester, MA, 01605. Phone: (508) 890-5633.
What is Herbert Markley, MD's NPI number? ▼
Herbert Markley, MD's National Provider Identifier (NPI) is 1043251598, issued on 06/08/2006.
Does Herbert Markley, MD prescribe more brand-name or generic drugs? ▼
Herbert Markley, MD's prescribing is 35% brand-name and 65% generic drugs by claim count, with $1.3M in brand drug costs.
Does Herbert Markley, MD prescribe opioids? ▼
Yes, Herbert Markley, MD had 20 opioid claims in 2024 with an opioid prescribing rate of 0.7%.
How many Neurology Physician providers are there in the US? ▼
There are 20,467 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,356 Medicare Part D claims per year.
What drugs does Herbert Markley, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Herbert Markley, MD's most frequently prescribed drugs include Duloxetine Hcl, Gabapentin, Nurtec Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Herbert Markley, MD accept Medicare? ▼
Herbert Markley, MD appears in CMS Medicare data with 2,886 Part D claims and 240 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Herbert Markley, MD's credentials? ▼
Herbert Markley, MD's NPI is 1043251598 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.