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STEVEN HERZOG D.D.S., M.S.
NPI 1306063631
Oral & Maxillofacial Surgery in Chicago, IL

Active since April 19, 2007PECOS Enrolled
2440 W PETERSON AVE, CHICAGO, IL 60659(773) 761-7171(773) 761-6714 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2019, Dec 9, 2019 (2 updates tracked since 2019).

About Steven Herzog D.d.s., M.s. NPPES

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

STEVEN HERZOG D.D.S., M.S. (NPI 1306063631) is an individual oral & maxillofacial surgery provider in Chicago, Illinois, licensed in Illinois (019-016111) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Skokie.

NPPES Registry Identity

NPI1306063631
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameSTEVEN HERZOGCredential: D.D.S., M.S.
Location Address2440 W PETERSON AVEChicago, IL 60659-4113
Mailing Address2440 W Peterson AveChicago, IL 60659-4113 · (773) 761-7171 · Fax (773) 761-6714
Phone(773) 761-7171
Fax(773) 761-6714
Sole ProprietorNo
Enumeration DateApril 19, 2007
Last NPPES UpdateDecember 16, 20192 updates tracked since enumeration
✔ NPI 1306063631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in IL · 019-016111
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 019-016111 (IL)
2440 W PETERSON AVE, Chicago, IL 60659
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Secondary Practice Location 1

Location 14905 Old Orchard Ctr Ste 610Skokie, IL 60077-1465 · Phone (847) 676-9303

Other Identifiers 1

Medicaid019016111IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven Herzog D.d.s., M.s. 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 Reassignment

Medicare enrollment records show Steven Herzog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Evaskus And Herzog, Ltd
Same address
Oral & Maxillofacial Surgery
2440 W PETERSON AVE
Chicago, IL 60659
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1316044837 (773) 761-7171

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

Other Providers at the Same Location NPPES 4

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

DR. LOUIS E HALKIAS DDS, MS
Oral & Maxillofacial Surgery
2440 W PETERSON AVE
CHICAGO, IL 60659
Cook County (773) 761-7171
DR. DAVID S. EVASKUS D.D.S., M.S.
Dentist (Oral and Maxillofacial Surgery)
2440 W PETERSON AVE
CHICAGO, IL 60659
Cook County (773) 761-7171
EVASKUS AND HERZOG, LTD
Oral & Maxillofacial Surgery
2440 W PETERSON AVE
CHICAGO, IL 60659
Cook County (773) 761-7171
DR. MICHAEL PAPADIMITRIOU D.D.S.
Oral & Maxillofacial Surgery
2440 W PETERSON AVE
CHICAGO, IL 60659
Cook County (773) 761-7171

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 Steven Herzog's NPI number?

The NPI number for Steven Herzog is 1306063631. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Steven Herzog located?

Steven Herzog practices at 2440 W Peterson Ave, Chicago, IL 60659. The listed phone number is (773) 761-7171.

What is Steven Herzog's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Steven Herzog enrolled in Medicare?

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

Which organization bills Medicare for Steven Herzog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Herzog reassigns Medicare benefits to Evaskus And Herzog, Ltd (Chicago, IL). The 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 Steven Herzog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Herzog accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Steven 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 Steven Herzog was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.