CASEY PATRICK HERTZENBERG (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1407016439

CASEY PATRICK HERTZENBERG (M.D.) is a healthcare provider. based in Shawnee mission, Kansas. specializing in THORACIC SURGERY, CARDIAC SURGERY, CARDIOVASCULAR DISEASE (CARDIOLOGY), GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 94-07038 (KS). The NPI Number for CASEY PATRICK HERTZENBERG (M.D.) is 1407016439

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
CASEY PATRICK HERTZENBERG (M.D.)
NPI
1407016439
Phone
(913) 632-9418
Address
9119 W 74TH ST STE 350
Enumeration Date
12 June 2008
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9136329400
Graduation Year
2008 (18 years ago)
PAC ID
9335447911
Group Practice PAC ID
9537119037
Professional Enrollment ID
I20160816001516
Address ID
KS662042268ME9119XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

45 THORACIC SURGERY in KS

Provider Addresses for CASEY PATRICK HERTZENBERG (M.D.)

  • 9119 W 74TH ST STE 350

    SHAWNEE MISSION, KS 662042268

    Phone: (913) 632-9418

    Fax: (913) 632-9447

    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 33 Open Payments records for all available years, with a total value of $2,406.

Total Amount is formed as General ($2,406) + Research ($0) + Ownership ($0) = $2,406.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Abbott Laboratories ($1,064).

Total Amount

$2,406

General + Research + Ownership

Payments

33

Total payment records

General Amount

$2,406

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2016-08-16

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
I20160816001516IThoracic SurgeryKSTBD

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
99203New patient office or other outpatient visit, 30-44 minutes2626$0
33361Replacement of aortic valve through the skin and femoral artery1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 66204)

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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: 9537119037View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)KS
Family PracticeNC
Nurse PractitionerKS
-KS
Physician AssistantKS
Nurse PractitionerKS
-KS
Internal MedicineKS
Nurse PractitionerKS
Cardiovascular Disease (Cardiology)KS

Reviews

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Frequently asked questions

How do I look up CASEY PATRICK HERTZENBERG (M.D.) by NPI?
Use NPI 1407016439 when you need to reference CASEY PATRICK HERTZENBERG (M.D.) in forms, claims, or directories.
Is CASEY PATRICK HERTZENBERG (M.D.) active in the national directory?
CASEY PATRICK HERTZENBERG (M.D.)'s public NPI profile is in an active state.
What field does CASEY PATRICK HERTZENBERG (M.D.) work in?
You can think of CASEY PATRICK HERTZENBERG (M.D.) as practicing within Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for CASEY PATRICK HERTZENBERG (M.D.)?
The page summarizes Shawnee Mission, Kansas for CASEY PATRICK HERTZENBERG (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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