JOHN L HERTZER MD
NPI 1104885235
Psychiatry & Neurology - Psychiatry in Cleveland, OH

Active since March 18, 2006PECOS Enrolled
79.48/100
CMS Quality Rating
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-3881(216) 844-5883 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John L Hertzer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN L HERTZER MD (NPI 1104885235) is an individual psychiatry provider in Cleveland, Ohio, licensed in Ohio (35072227) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104885235
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOHN L HERTZERCredential: MD
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address24701 Euclid Ave, 3rd FloorEuclid, OH 44117-1714 · (216) 383-6616
Fax(216) 844-5883
Sole ProprietorNo
Enumeration DateMarch 18, 2006
Last NPPES UpdateJanuary 14, 2021
NPPES CertifiedJanuary 14, 2021
✔ NPI 1104885235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OH · 35072227
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 35072227 (OH)
11100 EUCLID AVE, Cleveland, OH 44106

Other Identifiers 6

Medicaid2203930OH
Other363633OH · Wellcare Medicaid
Other000000532997OH · Anthem
Other000000224416OH · Unison
Medicaid0943457OH
Other7032237OH · Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John L Hertzer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show John Hertzer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
Psychiatry
4199 MILLPOND DR
Highland Hills, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 28 clinicians in this Medicare group
Clinical
8224 MENTOR AVE, SUITE 208
Mentor, OH 44060
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Hertzer's NPI number?

The NPI number for John Hertzer is 1104885235. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is John Hertzer located?

John Hertzer practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-3881.

What is John Hertzer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Hertzer enrolled in Medicare?

Yes. John Hertzer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Hertzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Hertzer reassigns Medicare benefits to 4 organizations: University Hospitals Medical Group Inc (Cleveland, OH), The Metrohealth System (Cleveland, OH), Highland Springs Physician Group, LLC (Highland Hills, OH) and Glovan Pollak And Associates LLC (Mentor, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Hertzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Hertzer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers list John Hertzer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Hertzer was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.