JOSEPH R HERZBERGER PA
NPI 1205877438
Physician Assistant in Atlanta, GA

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342(404) 851-8000 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph R Herzberger Pa NPPES

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

JOSEPH R HERZBERGER PA (NPI 1205877438) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (004347) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1205877438
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSEPH R HERZBERGERCredential: PA
Location Address1000 JOHNSON FERRY RD NEAtlanta, GA 30342-1606
Mailing AddressPo Box 2968Kennesaw, GA 30156-9117 · (770) 779-0015
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 9, 2006
Last NPPES UpdateNovember 13, 2008
NPI 1205877438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 004347
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 004347 (GA)
1000 JOHNSON FERRY RD NE, Atlanta, GA 30342

Other Identifiers 9

Other10044975GA · Amerigroup
Other333514GA · Wellcare
Medicare ID-Type Unspecified97WCGVSGA
Medicaid740575585BGA
Medicaid740575585GA
Medicare UPINQ23288
Medicare PINP00237948GA
Medicare PIN97WCGVSGA
Medicaid740575585CGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joseph R Herzberger Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850369687
PECOS Enrollment IDI20040920001088
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
603 services215 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
116 services111 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$16.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers39 claims39 services$69.76 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$26.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Nurse Practitioner (Women's Health)
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Nurse Anesthetist, Certified Registered
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Pharmacist
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Pharmacist
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL PHARMACY
ATLANTA, GA 30342
Radiology (Diagnostic Radiology)
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342

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 Joseph Herzberger's NPI number?

The NPI number for Joseph Herzberger is 1205877438. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Joseph Herzberger located?

Joseph Herzberger practices at 1000 Johnson Ferry Rd NE, Atlanta, GA 30342. The listed phone number is (404) 851-8000.

What is Joseph Herzberger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joseph Herzberger enrolled in Medicare?

Yes. Joseph Herzberger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Herzberger accept?

Health plans from Oscar Insurance Company list Joseph Herzberger 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.

Is Joseph Herzberger affiliated with any hospitals?

According to CMS data, Joseph Herzberger is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Joseph Herzberger was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.