DR. GARY RONALD HERZBERG MD
NPI 1235225194
Family Medicine in Sebastopol, CA

Q: What is Gary Herzberg's NPI number?

The NPI number for Gary Herzberg is 1235225194. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Gary Herzberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Gary Herzberg enrolled in Medicare?

No. Gary Herzberg has opted out of Medicare through August 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Gary Herzberg was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 05, 2006Opted out of Medicare · through Aug 9, 2027

591 SWAIN WOODS TER, SEBASTOPOL, CA 95472(707) 483-1802 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Gary Ronald Herzberg Md NPPES

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

DR. GARY RONALD HERZBERG MD (NPI 1235225194) is an individual family medicine provider in Sebastopol, California, licensed in California (A25421) and active in the NPI registry since October 2006. He has opted out of Medicare through August 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235225194

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GARY RONALD HERZBERGCredential: MD

Location Address591 SWAIN WOODS TERSebastopol, CA 95472-4379

Mailing Address591 Swain Woods TerSebastopol, CA 95472-4379

Phone(707) 483-1802

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateDecember 30, 2015

✔ NPI 1235225194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A25421

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

591 SWAIN WOODS TER, Sebastopol, CA 95472

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Other Identifiers 3

Medicare UPINA24431

Medicare ID-Type Unspecified00A254210CA

Medicaid00A254210CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gary Ronald Herzberg Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 9, 2019 through August 9, 2027.

Opt-Out Effective DateAugust 9, 2019

Opt-Out In Effect ThroughAugust 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95472 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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 Gary Herzberg's NPI number?

The NPI number for Gary Herzberg is 1235225194. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Gary Herzberg located?

Gary Herzberg practices at 591 Swain Woods Ter, Sebastopol, CA 95472. The listed phone number is (707) 483-1802.

What is Gary Herzberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Herzberg enrolled in Medicare?

No. Gary Herzberg has opted out of Medicare through August 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gary Herzberg was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.