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DR. GEOFFREY PAUL HERZOG D.M.D.
NPI 1245513688
Dentist - General Practice in Boise, ID

Active since September 22, 2011PECOS Enrolled
6657 N GLENWOOD ST, BOISE, ID 83714(208) 375-0572 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Jun 20, 2023 (2 updates tracked since 2023).

About Dr. Geoffrey Paul Herzog D.m.d. NPPES

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

DR. GEOFFREY PAUL HERZOG D.M.D. (NPI 1245513688) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D-4570) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245513688
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GEOFFREY PAUL HERZOGCredential: D.M.D.
Location Address6657 N GLENWOOD STBoise, ID 83714-1925
Mailing Address6657 N Glenwood StBoise, ID 83714-1925 · (208) 375-0572
Phone(208) 375-0572
Sole ProprietorYes
Enumeration DateSeptember 22, 2011
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1245513688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D-4570
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6657 N GLENWOOD ST, Boise, ID 83714
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Geoffrey Paul Herzog D.m.d. 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 83714 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 2

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

KRISTIN L FENWICK DDS
Dentist (General Practice)
6657 N GLENWOOD ST, WATER'S EDGE DENTAL
BOISE, ID 83714
Ada County (208) 375-0572
ALEXANDRA ROCHELLE HYDER DDS
Dentist
6657 N GLENWOOD ST
BOISE, ID 83714
Ada County (208) 375-0572

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 Geoffrey Herzog's NPI number?

The NPI number for Geoffrey Herzog is 1245513688. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Where is Geoffrey Herzog located?

Geoffrey Herzog practices at 6657 N Glenwood St, Boise, ID 83714. The listed phone number is (208) 375-0572.

What is Geoffrey Herzog's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Geoffrey Herzog enrolled in Medicare?

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

What insurance does Geoffrey Herzog accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Geoffrey Herzog 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 Geoffrey Herzog was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.