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THOMAS ALEXANDER HERZOG M.D.
NPI 1366466526
Surgery in Pueblo, CO

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1600 N GRAND AVE, STE 430, PUEBLO, CO 81003(719) 545-8240(719) 545-4319 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Alexander Herzog M.d. NPPES

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

THOMAS ALEXANDER HERZOG M.D. (NPI 1366466526) is an individual surgery provider in Pueblo, Colorado, licensed in Colorado (38821) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1995).

NPPES Registry Identity

NPI1366466526
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS ALEXANDER HERZOGCredential: M.D.
Location Address1600 N GRAND AVE, STE 430Pueblo, CO 81003-2700
Mailing Address1600 N Grand Ave, Ste 430Pueblo, CO 81003-2760 · (719) 545-8240 · Fax (719) 545-4319
Phone(719) 545-8240
Fax(719) 545-4319
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1995
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 2, 2012
✔ NPI 1366466526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CO · 38821
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1600 N GRAND AVE, Pueblo, CO 81003
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Other Identifiers 2

Medicaid81008538CO
Medicare UPINH29165

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

Thomas Alexander Herzog M.d. 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 ID7416857149
PECOS Enrollment IDI20040109000960
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services24 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.
29 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

DR. LAUREL ELIZABETH WRIGHT M.D.
Obstetrics & Gynecology
1600 N GRAND AVE, SUITE 400
PUEBLO, CO 81003
Pueblo County (719) 543-4000
GREG ALAN BOWMAN MD
Internal Medicine (Cardiovascular Disease)
1600 N GRAND AVE, SUITE 500
PUEBLO, CO 81003
Pueblo County (719) 545-0663
DIGESTIVE DISEASES SPECIALISTS OF COLORADO,LLC
Internal Medicine (Gastroenterology)
1600 N GRAND AVE, SUITE 440
PUEBLO, CO 81003
Pueblo County (719) 543-3500
GARY GENE WOFFORD M.D.
Exclusive Provider Organization
1600 N GRAND AVE, #230
PUEBLO, CO 81003
Pueblo County (719) 562-1000
ASHAKIRAN J. SUNKU, M.D., LLC
Psychiatry & Neurology (Neurology)
1600 N GRAND AVE, SUITE: 110
PUEBLO, CO 81003
Pueblo County (719) 546-9500
MICHAEL LEE KING M.D.
Surgery
1600 N GRAND AVE, STE 510
PUEBLO, CO 81003
Pueblo County (719) 566-3535
KYLEE PROVOST DNP
Nurse Practitioner
1600 N GRAND AVE
PUEBLO, CO 81003
Pueblo County (719) 546-2500
SANGRE DE CRISTO INTERNAL MEDICINE ASSOCIATES
Internal Medicine
1600 N GRAND AVE
PUEBLO, CO 81003
Pueblo County (719) 542-3100

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 Thomas Herzog's NPI number?

The NPI number for Thomas Herzog is 1366466526. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Thomas Herzog located?

Thomas Herzog practices at 1600 N Grand Ave Ste 430, Pueblo, CO 81003. The listed phone number is (719) 545-8240.

What is Thomas Herzog's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Herzog enrolled in Medicare?

Yes. Thomas Herzog 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 Thomas Herzog was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.