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THIEBAUT THOMAS HERZOG
NPI 1114344058
Pediatrics in Bend, OR

Active since March 27, 2014PECOS Enrolled
2500 NE NEFF RD, BEND, OR 97701(541) 382-4321 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thiebaut Thomas Herzog NPPES

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

THIEBAUT THOMAS HERZOG (NPI 1114344058) is an individual pediatrics provider in Bend, Oregon, licensed in Washington (1114344058) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114344058
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHIEBAUT THOMAS HERZOG
Location Address2500 NE NEFF RDBend, OR 97701-6015
Mailing Address2801 N Gantenbein AvePortland, OR 97227-1623 · (503) 276-6500
Phone(541) 382-4321
Sole ProprietorNo
Enumeration DateMarch 27, 2014
Last NPPES UpdateNovember 3, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1114344058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · 1114344058
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2500 NE NEFF RD, Bend, OR 97701
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Secondary Practice Locations 2

Location 14800 Sand Point Way NE # Oc.7830Seattle, WA 98105-3901 · Phone (206) 987-2525
Location 22801 N Gantenbein AvePortland, OR 97227-1623 · Phone (503) 276-6500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thiebaut Thomas Herzog 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DAVID ROSENBERG
Emergency Medicine
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 322-4721
MR. JAMES DEAN MUNRO FNP,MN
Nurse Practitioner (Family)
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 382-4321
SARAH ELIZABETH REYES JAMES NNP
Nurse Practitioner (Neonatal)
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 382-4321
BRETT D SINGER MD
Emergency Medicine
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 388-9826
JAMES LEWIS RITCHIE M.D.
Internal Medicine
2500 NE NEFF RD, SECOND FLOOR
BEND, OR 97701
Deschutes County (541) 388-4333
DR. ALAN R ERTLE M.D.
Internal Medicine (Pulmonary Disease)
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6958
DR. THOMAS J COMERFORD MD
Radiology (Radiation Oncology)
2500 NE NEFF RD, CENTRAL OREGON CANCER TREATMENT CTR
BEND, OR 97701
Deschutes County (541) 388-7733
JOHN D BLIZZARD MD
Specialist
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 388-1636

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 Thiebaut Herzog's NPI number?

The NPI number for Thiebaut Herzog is 1114344058. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Thiebaut Herzog located?

Thiebaut Herzog practices at 2500 NE Neff Rd, Bend, OR 97701. The listed phone number is (541) 382-4321.

What is Thiebaut Herzog's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thiebaut Herzog enrolled in Medicare?

Yes. Thiebaut Herzog is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thiebaut Herzog was last updated on November 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.