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Dr. Herbert G. Markley, MD

(Dr. Herbert Markley, MD)

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Specializes in: Neurology (Brain & Spinal Cord Disease)

University of Maryland School of Medicine (1972)

Professional interests include: headache, pain management

85 Prescott Street Suite 101
Worcester, MA 01605

(508) 890-5633

Dr. Herbert G. Markley, MD is a neurologist in Worcester, MA specializing in neurology (brain & spinal cord disease). He graduated from University of Maryland School of Medicine in 1972 and has 54 years of experience. Dr. Herbert G. Markley, MD is affiliated with UMass Memorial Health and UMass Memorial Health Managed Care Network.

Office Locations

23 Harvard Street
Worcester, MA 01609

(508) 890-5633

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85 Prescott Street Suite 101
Worcester, MA 01605

(508) 890-5633

(508) 890-1125

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Some issues Dr. Herbert G. Markley, MD can help you with:

Headache

Headaches are dull or sharp pains that occur in regions of the head and face. Headaches occur in many different forms and vary in location, severity, and duration. They are not necessarily a sign of an underlying illness and often resolve on their own. However, headaches can present significant day-to-day discomfort. The most common forms of headaches include:

Migraines: one of the most prevalent types of headache, migraines typically last from two hours to three days, causing a throbbing pain on one side of the head. Nausea, sensitivity to bright lights, fatigue, and blurred vision all may accompany migraines. While migraines have no known cure, medications and lifestyle modifications may ease symptoms. Avoiding behaviors that may trigger migraines such as lack of sleep or loud, repetitive noises can improve headaches.
Tension headaches: also known as stress headaches, these headaches are characterized by pain in the upper top part of the head and behind the eyes. Tension headaches are common and have no exact cause; however, certain practices may increase the likelihood of developing them. For example, wearing one's hair up in a tight hairstyle or wearing a restrictive hat can put pressure on the scalp, leading to a tension headache. Other causes of tension headaches may include alcohol or nicotine use, caffeine, teeth grinding, stress, overexertion, and eye strain. Some people find posture improvement, alternating sleeping positions, and neck exercise can alleviate tension headaches. Over-the-counter pain relievers such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve) may also reduce tension-headache pain.
Sinus headaches: this type of headache causes pain in the sinuses, but may progress to pain and pressure in the eyes, forehead, and cheeks. These headaches are often accompanied by nasal congestion, fatigue, and ache in the upper teeth and may or may not be caused by sinus infections or sinusitis (sinus inflammation). Some sinus headaches are allergic headaches, which arise from allergic triggers such as seasonal allergies (pollen allergies) or hay fever, causing sinus pressure and facial pain. Other symptoms of allergic headaches include nasal congestion, irritated or watery eyes, runny nose, and sneezing. Allergic headaches may be treated with antihistamine medications such as cetirizine (Zyrtec). Allergic headaches are common during pollen season, which is usually around springtime.
Cluster headaches: these headaches occur suddenly and cause stabbing, sharp pain from one eye down to the one side of the neck. They are often referred to as the most aggravating and painful type of headaches. Other symptoms of cluster headaches include nasal congestion, droopy eyelid, and enlarged pupil on one side of the face. In the past, it was widely believed that cluster headaches were caused by a bevy or "cluster" of multiple types of headaches, such as a combination of an allergic headache and a tension headache. Medical experts now recognize that cluster headaches are a separate and unique form of headache. Cluster headaches last for around twenty minutes to two hours. They may recur throughout the period of a day or several weeks, but usually dissipate within a month. Treatment for cluster headaches includes over-the-counter pain medications such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve). Prescription Prednisone can help with swelling and Verapamil may reduce pain by relaxing the blood vessels.

Living with headaches is challenging; headaches can prevent people from fully enjoying life. Medical treatment and care in avoiding certain triggers can help those with headaches begin to feel normal once again.

Noteworthy Medicare Patient Procedures Performed by Dr. Herbert G. Markley, MD in 2024

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

trigeminal neurolytic block

By Affordability:

botulinum toxin injection

botulinum toxin injection for migraine

trigeminal nerve block

In 2024, among providers in related specialties within Massachusetts, Dr. Herbert G. Markley, MD performed more trigeminal neurolytic block procedures for Medicare patients than 95% of them and he also had a list price for botulinum toxin injection, botulinum toxin injection for migraine, and trigeminal nerve block that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

chemodenervation

minimally invasive procedures

In 2024, Dr. Herbert G. Markley, MD had a list price for chemodenervation, and minimally invasive procedures that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Massachusetts. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

botulinum toxin injection for migraine

injections

By Affordability:

injections

In 2012, among providers in related specialties within Massachusetts, Dr. Herbert G. Markley, MD performed more botulinum toxin injection for migraine, and injections procedures for Medicare patients than 75% of them and he also had a list price for injections that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2012 were injections, minimally invasive procedures, nerve block and pain management.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	418
injections	317
minimally invasive procedures	210
nerve block	107
pain management	107

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2013 were injections, nerve block, pain management and minimally invasive procedures.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	435
injections	269
minimally invasive procedures	132
nerve block	137
pain management	137

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	38
Female	152

**Age**
From 65 to 74	73
From 75 to 84	0
85 and over	0
Less than 65	104

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2013

Hypertension	38
High Cholesterol	41
Stroke	0
Ischemic Heart Disease	17
Depression	59
Chronic Kidney Disease	9
Asthma	13
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	13
Dementia	0
Cancer	9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2014 were injections, nerve block, pain management and minimally invasive procedures.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	408
injections	222
minimally invasive procedures	110
nerve block	112
pain management	112

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	34
Female	115

**Age**
From 65 to 74	64
From 75 to 84	12
85 and over	0
Less than 65	73

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2014

Hypertension	42
High Cholesterol	39
Stroke	0
Ischemic Heart Disease	17
Depression	66
Chronic Kidney Disease	7
Asthma	19
Osteoperosis	9
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	7
Diabetes	14
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2015 were injections, nerve block, pain management and minimally invasive procedures.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	425
injections	214
minimally invasive procedures	106
nerve block	108
pain management	108

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	60
Female	282

**Ethnicity**
Non-Hispanic White	302
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	134
From 75 to 84	0
85 and over	0
Less than 65	170

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2015

Hypertension	44
High Cholesterol	41
Stroke	0
Ischemic Heart Disease	16
Depression	63
Chronic Kidney Disease	11
Asthma	20
Osteoperosis	8
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	15
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2016 were injections, nerve block, pain management and minimally invasive procedures.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	421
injections	274
minimally invasive procedures	125
nerve block	149
pain management	149

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	52
Female	152

**Ethnicity**
Non-Hispanic White	177
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	76
From 75 to 84	0
85 and over	0
Less than 65	105

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2016

Hypertension	46
High Cholesterol	40
Stroke	5
Ischemic Heart Disease	19
Depression	60
Chronic Kidney Disease	17
Asthma	16
Osteoperosis	7
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	9
Diabetes	17
Dementia	0
Cancer	7

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2017 were injections, minimally invasive procedures, nerve block and pain management.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	433
injections	251
minimally invasive procedures	127
nerve block	124
pain management	124

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	49
Female	151

**Ethnicity**
Non-Hispanic White	173
Black	0
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	80
From 75 to 84	0
85 and over	0
Less than 65	93

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2017

Hypertension	39
High Cholesterol	35
Stroke	0
Ischemic Heart Disease	14
Depression	61
Chronic Kidney Disease	18
Asthma	16
Osteoperosis	10
Atrial Fibrilation	0
Heart Failure	6
Chronic Obstructive Pulmonary Disease	8
Diabetes	15
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2018 were injections, minimally invasive procedures, nerve block and pain management.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	337
injections	239
minimally invasive procedures	121
nerve block	118
pain management	118

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	44
Female	124

**Ethnicity**
Non-Hispanic White	145
Black	0
Hispanic	11
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	55
From 75 to 84	0
85 and over	0
Less than 65	83

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2018

Hypertension	42
High Cholesterol	43
Stroke	0
Ischemic Heart Disease	17
Depression	61
Chronic Kidney Disease	17
Asthma	15
Osteoperosis	8
Atrial Fibrilation	0
Heart Failure	8
Chronic Obstructive Pulmonary Disease	11
Diabetes	17
Dementia	0
Cancer	7

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2019 were injections, nerve block, pain management and minimally invasive procedures.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	477
injections	238
minimally invasive procedures	119
nerve block	119
pain management	119

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	45
Female	106

**Ethnicity**
Non-Hispanic White	132
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	54
From 75 to 84	0
85 and over	0
Less than 65	71

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2019

Hypertension	43
High Cholesterol	42
Stroke	0
Ischemic Heart Disease	16
Depression	60
Chronic Kidney Disease	22
Asthma	12
Osteoperosis	8
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	11
Diabetes	15
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2020 were injections, nerve block, pain management and minimally invasive procedures.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	499
injections	224
minimally invasive procedures	112
nerve block	112
pain management	112

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	42
Female	127

**Ethnicity**
Non-Hispanic White	145
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	64
From 75 to 84	0
85 and over	0
Less than 65	75

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2020

Hypertension	46
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	19
Depression	57
Chronic Kidney Disease	18
Asthma	14
Osteoperosis	9
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	15
Diabetes	15
Dementia	0
Cancer	7

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2021 were injections, nerve block, pain management and minimally invasive procedures.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	507
injections	241
minimally invasive procedures	109
nerve block	132
pain management	132

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	47
Female	125

**Ethnicity**
Non-Hispanic White	150
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	69
From 75 to 84	0
85 and over	0
Less than 65	71

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2021

Hypertension	46
High Cholesterol	52
Stroke	6
Ischemic Heart Disease	22
Depression	53
Chronic Kidney Disease	24
Asthma	17
Osteoperosis	14
Atrial Fibrilation	0
Heart Failure	8
Chronic Obstructive Pulmonary Disease	11
Diabetes	19
Dementia	0
Cancer	6

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2022 were injections, nerve block, pain management and minimally invasive procedures.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	474
injections	219
minimally invasive procedures	97
nerve block	122
pain management	122

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	50
Female	115

**Ethnicity**
Non-Hispanic White	144
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	65
From 75 to 84	0
85 and over	0
Less than 65	64

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2022

Hypertension	55
High Cholesterol	68
Stroke	8
Ischemic Heart Disease	14
Depression	50
Chronic Kidney Disease	18
Asthma	24
Osteoperosis	15
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	18
Diabetes	19
Dementia	0
Cancer	10

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2023 were injections, pain management, minimally invasive procedures and nerve block.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	541
injections	189
minimally invasive procedures	89
nerve block	72
pain management	100

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	45
Female	116

**Ethnicity**
Non-Hispanic White	142
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	73
From 75 to 84	0
85 and over	0
Less than 65	63

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2023

Hypertension	52
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	11
Depression	45
Chronic Kidney Disease	17
Asthma	22
Osteoperosis	17
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	17
Diabetes	17
Dementia	0
Cancer	11

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA during 2024 were injections, pain management, minimally invasive procedures and nerve block.

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

doctor visit	540
injections	179
minimally invasive procedures	89
nerve block	49
pain management	90

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Male	48
Female	108

**Ethnicity**
Non-Hispanic White	137
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	74
From 75 to 84	0
85 and over	0
Less than 65	53

Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD in 2024

Hypertension	59
High Cholesterol	67
Stroke	0
Ischemic Heart Disease	15
Depression	44
Chronic Kidney Disease	22
Asthma	20
Osteoperosis	22
Atrial Fibrilation	7
Heart Failure	0
Chronic Obstructive Pulmonary Disease	17
Diabetes	16
Dementia	0
Cancer	12

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Herbert G. Markley, MD for Medicare patients.

The highest averages for the top procedures that Dr. Herbert G. Markley, MD treated as a neurologist in Worcester, MA were injections, minimally invasive procedures, pain management and nerve block.

doctor visit	455
injections	236
minimally invasive procedures	118
nerve block	112
pain management	117

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Herbert G. Markley, MD.

**Gender**
Female	128
Male	42

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	126
Native American / Alaskan Native	0
Hispanic	1
Other	0

**Age**
75 to 84	0
85 and over	0
Less than 65	78
65 to 74	67

Average of Total of Conditions of Medicare patients treated by Dr. Herbert G. Markley, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Herbert G. Markley, MD treated were depression, high cholesterol, hypertension and asthma.

Hypertension	42
High Cholesterol	44
Stroke	1
Ischemic Heart Disease	15
Depression	52
Chronic Kidney Disease	15
Asthma	16
Osteoporosis	9
Heart Failure	1
Chronic Obstructive Pulmonary Disease	9
Diabetes	14
Atrial Fibrillation	0
Dementia	0
Cancer	5

Education & Training

Dr. Herbert G. Markley, MD graduated from University of Maryland School of Medicine in 1972. He completed residency at Bayview Medical Center. He is certified by the American Board of Psychiatry and Neurology: Neurology and has a state license in Massachusetts.

Medical School: University of Maryland School of Medicine (1972)

Residency: Bayview Medical Center (1974)

Board Certification: American Board of Psychiatry and Neurology: Neurology

Licensed In: Massachusetts

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General Payments

These charts describe general payments received by Dr. Herbert G. Markley, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Teva Pharmaceuticals USA, Inc.	$62,720 AJOVY $62,350	Zecuity $266	Austedo XR $84	QVAR $20
Allergan Inc.	$54,317 BOTOX $53,749	UBRELVY $125	Botox Therapeutic $120	BOTOX CHRONIC MIGRAINE $97	RESTASIS $42	Other $185
AbbVie Inc.	$47,153 UBRELVY $43,755	QULIPTA $2,449	BOTOX $922	$27
Amgen Inc.	$35,452 Aimovig $32,048	$3,404
Lilly USA, LLC	$15,782 EMGALITY $14,858	REYVOW $680	$244
Other	$52,708 UBRELVY $11,671	NURTEC ODT $9,189	Symbravo $5,041	Cambia $4,892	TREXIMET $4,212	Other $17,703

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$181,140
Food and Beverage	$32,893
Consulting Fee	$31,284
Travel and Lodging	$18,361
Honoraria	$4,350
Other	$104

Research Payments

Dr. Herbert G. Markley, MD has received 283 research payments totaling $511,717.

Biography

Dr. Herbert Markley is a specialist in neurology (brain & spinal cord disease). Dr. Markley's clinical interests encompass pain management and headache. After completing medical school at the University of Maryland School of Medicine, he performed his residency at a hospital affiliated with McGill University and a hospital affiliated with the University of Colorado Denver. He speaks French. He is professionally affiliated with UMass Memorial Health.