KIRSTEN RAE HERTZOG DMD
NPI 1710862529
Dentist in Lebanon, PA

Q: What is Kirsten Hertzog's NPI number?

The NPI number for Kirsten Hertzog is 1710862529. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Q: What is Kirsten Hertzog's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kirsten Hertzog was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 11, 2025PECOS Enrolled

101 S 9TH ST, LEBANON, PA 17042(717) 450-7015(000) 000-0000 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kirsten Rae Hertzog Dmd NPPES

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

KIRSTEN RAE HERTZOG DMD (NPI 1710862529) is an individual dentist in Lebanon, Pennsylvania, licensed in Pennsylvania (DS045393) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Univ Of Pittsburgh School Of Dental Medicine (2025).

NPPES Registry Identity

NPI1710862529

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKIRSTEN RAE HERTZOGCredential: DMD

Location Address101 S 9TH STLebanon, PA 17042-5108

Mailing Address1819 Old Farm LnLancaster, PA 17602-4088 · (717) 875-7627 · Fax (000) 000-0000

Phone(717) 450-7015

Fax(000) 000-0000

Sole ProprietorNo

Medical School CMSUniv Of Pittsburgh School Of Dental MedicineGraduated 2025

Enumeration DateAugust 11, 2025

NPPES CertifiedAugust 10, 2025

✔ NPI 1710862529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS045393

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

101 S 9TH ST, Lebanon, PA 17042

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirsten Rae Hertzog Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335644855

PECOS Enrollment IDI20250925002537

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 10

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

HEATHER EBLING

Dental Hygienist