DR. JAMES MARK HERTZOG (O.D.) – Optometrist, NPI 1124052188

DR. JAMES MARK HERTZOG (O.D.) is a healthcare provider. based in Cabot, Arkansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2584 (AR). The NPI Number for DR. JAMES MARK HERTZOG (O.D.) is 1124052188

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES MARK HERTZOG (O.D.)
NPI
1124052188
Phone
(501) 941-2222
Address
1004 S PINE ST STE F
Enumeration Date
10 July 2006
Last Update Date
29 January 2013

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5019412222
Graduation Year
2006 (20 years ago)
PAC ID
3577662949
Group Practice PAC ID
0042357725
Professional Enrollment ID
I20070626000290
Address ID
AR720233864CA1004XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

422 OPTOMETRY in AR

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Provider Addresses for DR. JAMES MARK HERTZOG (O.D.)

  • South Pine Street, Kingwood Addition, Cabot, Lonoke County, Arkansas, 72023, United States

    CABOT, AR 720233864

    Phone: (501) 941-2222

    Fax: (501) 941-2577

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $791.

Total Amount is formed as General ($791) + Research ($0) + Ownership ($0) = $791.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alcon Vision LLC ($354).

Total Amount

$791

General + Research + Ownership

Payments

30

Total payment records

General Amount

$791

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-06-26

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
I20070626000290IOptometryARTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes240139$0
92250Photography of the retina202196$0
92014Established patient complete exam of visual system132131$0
92134Imaging of retina8065$0
99214Established patient office or other outpatient visit, 30-39 minutes7776$0
View full utilization report →

Insurance plans in this area (ZIP 72023)

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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: 0042357725View full group profile
NameSpecialtyState
O P T O M E T R YAR
O P T O M E T R YAR
-AR

Reviews

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Frequently asked questions

Is there an official ID for DR. JAMES MARK HERTZOG (O.D.) in U.S. healthcare records?
The official identifier for DR. JAMES MARK HERTZOG (O.D.) is NPI 1124052188.
Is there an active status for DR. JAMES MARK HERTZOG (O.D.)?
For scheduling context, DR. JAMES MARK HERTZOG (O.D.) is shown as active in the registry.
How would a patient describe DR. JAMES MARK HERTZOG (O.D.)'s focus?
For DR. JAMES MARK HERTZOG (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. JAMES MARK HERTZOG (O.D.) associated with Cabot?
Public fields place DR. JAMES MARK HERTZOG (O.D.) around Cabot, Arkansas. Always confirm the exact site before visiting.
Does DR. JAMES MARK HERTZOG (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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