THOMAS HERZOG M.D.
NPI 1619909850
Obstetrics & Gynecology - Gynecologic Oncology in Cincinnati, OH

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
2139 AUBURN AVE, CINCINNATI, OH 45219(513) 585-2323(513) 585-4893 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Herzog M.d. NPPES

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

THOMAS HERZOG M.D. (NPI 1619909850) is an individual gynecologic oncology provider in Cincinnati, Ohio, licensed in Ohio (35 057399) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1619909850
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameTHOMAS HERZOGCredential: M.D.
Location Address2139 AUBURN AVECincinnati, OH 45219-2906
Mailing Address237 William Howard Taft, Phys DivCincinnati, OH 45219-2906 · (513) 585-2323 · Fax (513) 585-4893
Fax(513) 585-4893
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 7, 2006
Last NPPES UpdateFebruary 24, 2016
NPI 1619909850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Licenses Licensed in OH · 35 057399 Licensed in NY · 231790-1
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
2139 AUBURN AVE, Cincinnati, OH 45219

Other Identifiers 6

Medicare PIN710C5KW751NY
Other201249540IN · Medicaid
Other0107031OH · Medicaid
Other7100315370KY · Medicaid
Medicaid02561113NY
Medicare UPINF04234NY

Accepted Insurance

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 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 ID8628038189
PECOS Enrollment IDI20140821001204
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
156 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services16 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.26
Promoting Interoperability100
Improvement Activities40
Cost77.87

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.

Nurse Practitioner (Acute Care)
2139 AUBURN AVE
CINCINNATI, OH 45219
Anesthesiologist Assistant
2139 AUBURN AVE
CINCINNATI, OH 45219
Anesthesiologist Assistant
2139 AUBURN AVE
CINCINNATI, OH 45219
Pharmacist
2139 AUBURN AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
2139 AUBURN AVE
CINCINNATI, OH 45219
Dietitian, Registered
2139 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine (Cardiovascular Disease)
2139 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine
2139 AUBURN AVE, ROOM 6166
CINCINNATI, OH 45219

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 1619909850. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Thomas Herzog located?

Thomas Herzog practices at 2139 Auburn Ave, Cincinnati, OH 45219. The listed phone number is (513) 585-2323.

What is Thomas Herzog's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

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.

What insurance does Thomas Herzog accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Thomas 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.

Is Thomas Herzog affiliated with any hospitals?

According to CMS data, Thomas Herzog is affiliated with University Of Cincinnati Medical Center, LLC, Christ Hospital and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Herzog was last updated on February 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.