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ALEX M HERZBERG MD
NPI 1629085519
Orthopaedic Surgery in Vancouver, WA

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
2525 NE 139TH ST, #140, VANCOUVER, WA 98686(360) 882-2778(360) 604-1697 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alex M Herzberg Md NPPES

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

ALEX M HERZBERG MD (NPI 1629085519) is an individual orthopaedic surgery provider in Vancouver, Washington, licensed in Wisconsin (66572-20) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of University Of Washington School Of Medicine (1992).

NPPES Registry Identity

NPI1629085519
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameALEX M HERZBERGCredential: MD
Location Address2525 NE 139TH ST, #140Vancouver, WA 98686-2719
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7238
Phone(360) 882-2778
Fax(360) 604-1697
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1992
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1629085519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in WI · 66572-20✔ Licensed in WA · MD60431541✔ Licensed in OR · MD21166
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2525 NE 139TH ST, Vancouver, WA 98686
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Other Identifiers 2

Medicaid001920OR
Medicaid276799OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 and accepts Medicare assignment

Alex M Herzberg 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 ID4183785462
PECOS Enrollment IDI20140508001708, I20230630001159
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 5

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.

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.
38 services38 patients
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.
22 services19 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
19 services19 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.
16 services15 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501323
Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98686 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

ALLISON LAWRENCE CNM
Advanced Practice Midwife
2525 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 882-2778
TORI MARIE NORMAN WHNP-BC
Nurse Practitioner (Women's Health)
2525 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 882-2778
JOSEPH D MATHIAS
Physician Assistant
2525 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 882-2778
ROBERT B DAVIS MD
Internal Medicine
2525 NE 139TH ST, THE VANCOUVER CLINIC
VANCOUVER, WA 98686
Clark County (360) 397-3810
MS. ADRIENNE MICHELLE HECKLER MD
Urology
2525 NE 139TH ST, SUITE 220
VANCOUVER, WA 98686
Clark County (360) 882-2778
DR. NINA SOFIA UPHAM M.D.
Family Medicine (Sports Medicine)
2525 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 882-2778
DR. CARRIE NICOLE CARUTHERS M.D.
Allergy & Immunology
2525 NE 139TH ST, SUITE 210
VANCOUVER, WA 98686
Clark County (360) 882-2778
SONYA NICOLE STRENGE PA-C
Physician Assistant (Medical)
2525 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 397-4000

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 Alex Herzberg's NPI number?

The NPI number for Alex Herzberg is 1629085519. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Alex Herzberg located?

Alex Herzberg practices at 2525 NE 139th St #140, Vancouver, WA 98686. The listed phone number is (360) 882-2778.

What is Alex Herzberg's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Alex Herzberg enrolled in Medicare?

Yes. Alex Herzberg 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 Alex Herzberg accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and PacificSource Health Plans and 2 other insurers list Alex Herzberg 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 Alex Herzberg affiliated with any hospitals?

According to CMS data, Alex Herzberg is affiliated with Southcoast Hospitals Group and Jefferson Healthcare.

When was this NPI record last updated?

The NPPES record for Alex Herzberg was last updated on April 3, 2020. 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.