DR. DAVID R. HERTZOG (MD) – Vascular & Interventional Radiology Physician, NPI 1336188945
Vascular & Interventional Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
145 INTERVENTIONAL RADIOLOGY in MD
Provider Addresses for DR. DAVID R. HERTZOG (MD)
8140 Corporate Drive
Suite 125
Baltimore, MD 212366901
Phone: (410) 931-9729
Fax: (410) 931-2133
Type: Location
2235 Staples Mill Rd Ste 104
Richmond, VA 232302942
Phone: (804) 355-9729
Type: Location
2080 Marlton Pike E
Cherry Hill, NJ 080031202
Phone: (856) 616-8600
Type: Location
25 Crossroads Dr Ste 110
Owings Mills, MD 211175444
Phone: (410) 363-2192
Type: Location
PO BOX 416210
BOSTON, MA 022411407
Phone: (610) 644-8900
Fax: (484) 924-0053
Type: Mailing
2412, Passyunk Avenue, Girard Estates, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19145, United States
PHILADELPHIA, PA 191454114
Phone: (215) 462-2100
Fax: (215) 462-3100
Type: Location
40, Valley Stream Parkway, Malvern, Chester County, Pennsylvania, 19355, United States
SUITE 100
MALVERN, PA 193551407
Phone: (610) 644-8900
Fax: (610) 644-8909
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.
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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: 2017-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070918000390 | I | Interventional Radiology | PA | TBD |
| I20150227000312 | I | Interventional Radiology | NJ | TBD |
| I20160219001757 | I | Interventional Radiology | MD | TBD |
| I20170127000455 | I | Interventional Radiology | VA | 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 |
|---|---|---|---|---|
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 134 | 117 | $0 |
| 36905 | Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 57 | 47 | $0 |
| 36907 | Balloon dilation of dialysis segment with review by radiologist | 55 | 44 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 41 | 36 | $0 |
| 36901 | Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 39 | 33 | $0 |
Insurance plans in this area (ZIP 21236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | MA | |
| Vascular Surgery | PA | |
| Interventional Radiology, Diagnostic Radiology | PA | |
| Nephrology, Internal Medicine, Interventional Radiology, Interventional Radiology, Nephrology | PA | |
| Interventional Radiology, Diagnostic Radiology, Interventional Radiology | NJ | |
| Interventional Radiology, Diagnostic Radiology | MA |
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