DR. CRAIG WILLIAM HERTZ DO
NPI 1952544009
Emergency Medicine in Atlanta, GA

Active since April 18, 2009PECOS EnrolledAccepts Medicare Assignment
5671 PEACHTREE DUNWOODY RD STE 275, ATLANTA, GA 30342(917) 408-3090 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Craig William Hertz Do NPPES

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

DR. CRAIG WILLIAM HERTZ DO (NPI 1952544009) is an individual emergency medicine provider in Atlanta, Georgia, licensed in Georgia (110427) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1952544009
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CRAIG WILLIAM HERTZCredential: DO
Location Address5671 PEACHTREE DUNWOODY RD STE 275Atlanta, GA 30342-5018
Mailing Address5671 Peachtree Dunwoody Rd Ste 275Atlanta, GA 30342-5018 · (917) 408-3090
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 18, 2009
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1952544009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in GA · 110427✔ Licensed in NY · 255890-1
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 255890 (NY), 110427 (GA)
5671 PEACHTREE DUNWOODY RD STE 275, Atlanta, GA 30342

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Craig William Hertz Do 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 ID1153555396
PECOS Enrollment IDI20131002000102, I20260320003351
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Craig Hertz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Hospitalist
1300 ROANOKE AVE
Riverhead, NY 11901
  • Reassigned Medicare billing, New York enrollment
  • 134 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Craig Hertz's NPI number?

The NPI number for Craig Hertz is 1952544009. It was assigned to this individual provider in the NPPES registry on April 18, 2009.

Where is Craig Hertz located?

Craig Hertz practices at 5671 Peachtree Dunwoody Rd Ste 275, Atlanta, GA 30342. The listed phone number is (917) 408-3090.

What is Craig Hertz's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Craig Hertz enrolled in Medicare?

Yes. Craig Hertz 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.

Which organizations bill Medicare for Craig Hertz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Hertz reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), North Shore - Lij Medical PC (New Hyde Park, NY) and Central Suffolk Hospital (Riverhead, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Craig Hertz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Craig Hertz accept?

Health plans from Oscar Health list Craig Hertz 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.

When was this NPI record last updated?

The NPPES record for Craig Hertz was last updated on February 11, 2026. 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.