DR. JEREMY B. HERTZA (PSY.D) – Clinical Neuropsychologist, NPI 1528237955
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
483 CLINICAL PSYCHOLOGIST in GA
Provider Addresses for DR. JEREMY B. HERTZA (PSY.D)
207 HUDSON TRCE
AUGUSTA, GA 309072010
Phone: (706) 823-5250
Fax: (706) 823-5266
Type: Mailing
Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States
SUITE BI1056/ATTN: SHANNON S
AUGUSTA, GA 309120004
Phone: (706) 721-3813
Type: Mailing
639, 13th Street, Augusta, Richmond County, Georgia, 30901, United States
AUGUSTA, GA 309011007
Phone: (706) 823-5250
Fax: (706) 823-5266
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2023-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100121000067 | I | Clinical Psychologist | GA | TBD |
| I20231122000382 | I | Clinical Psychologist | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 1,145 | 256 | $0 |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 948 | 174 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 537 | 291 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 363 | 352 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 303 | 297 | $0 |
Insurance plans in this area (ZIP 30907)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | GA | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 52 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | TX | |
| Qualified Speech Language Pathologist | NJ | |
| Mental Health Counselor | GA | |
| - | GA | |
| P S Y C H I A T R Y | CA | |
| Clinical Psychologist, Psychiatry | CA | |
| Clinical Social Worker | GA | |
| Clinical Psychologist | GA |
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