JOHN GARY HARTZOG (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255395190

JOHN GARY HARTZOG (CRNA) is a healthcare provider. based in Opelika, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1-039697 (AL). The NPI Number for JOHN GARY HARTZOG (CRNA) is 1255395190

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JOHN GARY HARTZOG (CRNA)
NPI
1255395190
Phone
(334) 528-2499
Address
2000 Pepperell Pkwy
Enumeration Date
17 April 2006
Last Update Date
23 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342904530
Graduation Year
1987 (39 years ago)
PAC ID
7719996172
Group Practice PAC ID
5799684148
Professional Enrollment ID
I20101203000159
Address ID
AL361173532MO470XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,626 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

Provider Addresses for JOHN GARY HARTZOG (CRNA)

  • 2000 Pepperell Pkwy

    Opelika, AL 368015452

    Phone: (334) 528-2499

    Type: Location

  • Taylor Road, Montgomery, Montgomery County, Alabama, 36116, United States

    MONTGOMERY, AL 361173563

    Phone: (334) 226-4048

    Fax: (334) 323-5675

    Type: Location

  • 2151 OLD ROCKY RIDGE ROAD

    SUITE 106

    BIRMINGHAM, AL 352167251

    Phone: (205) 989-1080

    Fax: (205) 989-1087

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101203000159ICertified Registered Nurse Anesthetist (Crna)ALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand3837$0
00142Anesthesia for lens surgery3532$0
01400Anesthesia for other procedure or exam of knee joint using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 36801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799684148View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

Where can patients find JOHN GARY HARTZOG (CRNA)'s NPI?
You can confirm JOHN GARY HARTZOG (CRNA) with NPI 1255395190; it appears in the national provider directory.
Is JOHN GARY HARTZOG (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JOHN GARY HARTZOG (CRNA) work in?
You can think of JOHN GARY HARTZOG (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is JOHN GARY HARTZOG (CRNA)'s primary listing?
We display Opelika, Alabama because that is what the record indicates for JOHN GARY HARTZOG (CRNA).
What if Opelika, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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