DR. DAVID R. HERTZOG MD
NPI 1336188945
Radiology - Vascular & Interventional Radiology in Philadelphia, PA

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2412 W PASSYUNK AVE, PHILADELPHIA, PA 19145(215) 462-2100(215) 462-3100 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2025, Aug 13, 2025, Jun 16, 2025 and 5 more (8 updates tracked since 2016).

About Dr. David R. Hertzog Md NPPES

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

DR. DAVID R. HERTZOG MD (NPI 1336188945) is an individual vascular & interventional radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD027999E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Medical College Of Pennsylvania (1981).

NPPES Registry Identity

NPI1336188945
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. DAVID R. HERTZOGCredential: MD
Location Address2412 W PASSYUNK AVEPhiladelphia, PA 19145-4114
Mailing AddressPo Box 416210Boston, MA 02241-1407 · (610) 644-8900 · Fax (484) 924-0053
Fax(215) 462-3100
Sole ProprietorYes
Medical School CMSMedical College Of PennsylvaniaGraduated 1981
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 26, 20258 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1336188945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in PA · MD027999E
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedSurgeryTaxonomy 208600000X · License MD027999E (PA)
2412 W PASSYUNK AVE, Philadelphia, PA 19145

Secondary Practice Locations 4

Location 12235 Staples Mill Rd Ste 104Richmond, VA 23230-2942 · Phone (804) 355-9729
Location 22080 Marlton Pike ECherry Hill, NJ 08003-1202 · Phone (856) 616-8600
Location 325 Crossroads Dr Ste 110Owings Mills, MD 21117-5444 · Phone (410) 363-2192
Location 48140 Corporate Drive, Suite 125Baltimore, MD 21236-6901 · Phone (410) 931-9729 · Fax (410) 931-2133

Other Identifiers 5

Other0045155000NJ · Amerihealth
Other0506464005NJ · Cigna
Other36952NJ · Aetna
OtherMES131NJ · Oxford
Medicaid3435709NJ

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

Dr. David R. Hertzog Md 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 ID7810929486
PECOS Enrollment IDI20070918000390
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 11

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.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
142 services128 patients
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901
This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.
48 services46 patients
Balloon dilation of dialysis segment with review by radiologist 36907
Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.
47 services39 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
47 services40 patients
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905
This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.
46 services43 patients
Replacement of tunneled central venous tube 36581
A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.
39 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19145 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.88
Improvement Activities40

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 David Hertzog's NPI number?

The NPI number for David Hertzog is 1336188945. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is David Hertzog located?

David Hertzog practices at 2412 W Passyunk Ave, Philadelphia, PA 19145. The listed phone number is (215) 462-2100.

What is David Hertzog's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is David Hertzog enrolled in Medicare?

Yes. David Hertzog 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.

When was this NPI record last updated?

The NPPES record for David Hertzog was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.