DR. JACQUES A HERZOG (MD) – Otology & Neurotology Physician, NPI 1255330650
Otology & Neurotology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
320 OTOLARYNGOLOGY in MO
Provider Addresses for DR. JACQUES A HERZOG (MD)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-7509
Fax: (314) 453-0561
Type: Mailing
450 N NEW BALLAS RD
DEPT OTOLARYNGOLOGY, STE 140
SAINT LOUIS, MO 631416859
Phone: (314) 362-7509
Fax: (314) 453-0561
Type: Location
226, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States
58 WEST
CHESTERFIELD, MO 630173662
Phone: (314) 453-0001
Fax: (314) 453-0489
Type: Mailing
660 S EUCLID AVE
CB 8115
SAINT LOUIS, MO 631101010
Phone: (314) 453-0001
Fax: (314) 453-0489
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $10,806.
Total Amount is formed as General ($10,806) + Research ($0) + Ownership ($0) = $10,806.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Cochlear Americas ($8,030).
Total Amount
$10,806
General + Research + Ownership
Payments
43
Total payment records
General Amount
$10,806
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cochlear Americas | $8,030 |
| Cochlear Ltd | $2,513 |
| MED-EL Corporation | $125 |
| Grace Medical, Inc. | $118 |
| PFIZER INC. | $21 |
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: 2005-02-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050217000085 | I | Otolaryngology | MO | 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 |
|---|---|---|---|---|
| 92504 | Exam of ear using a microscope | 367 | 321 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 212 | 178 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 91 | 91 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 72 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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