JACKSON HERZOG – Diagnostic Radiology Physician, NPI 1033501010
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,804 DIAGNOSTIC RADIOLOGY in OH
Provider Addresses for JACKSON HERZOG
55 Arch St Ste 1B
Akron, OH 443041436
Phone: (330) 375-7779
Type: Location
1316 S Main St
Clarion, IA 505252019
Phone: (844) 474-4321
Type: Location
1924 Superior St
Webster City, IA 505953146
Phone: (844) 474-4321
Type: Location
104 S Story St
Boone, IA 500364737
Phone: (844) 474-4321
Type: Location
2700 1st Ave S
Fort Dodge, IA 505014300
Phone: (844) 474-4321
Type: Location
840 W US Highway 18
Garner, IA 504381023
Phone: (844) 474-4321
Type: Location
1416 6TH ST SW
MASON CITY, IA 504014818
Phone: (641) 424-0102
Type: Location
55 ARCH ST STE 1B
AKRON, OH 443041436
Phone: (330) 375-3315
Fax: (330) 375-7779
Type: Mailing
403 1st St SE
Belmond, IA 504211201
Phone: (844) 474-4321
Type: Location
401 S 17th St
Clear Lake, IA 504282304
Phone: (844) 474-4321
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-02-24 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, 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: 2024-05-23
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 |
|---|---|---|---|---|
| I20230510000553 | I | Diagnostic Radiology | OH | TBD |
| I20240523001807 | I | Diagnostic Radiology | IA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 24 | 22 | $0 |
| 71250 | Ct scan of chest without contrast | 16 | 16 | $0 |
| 71046 | X-ray of chest, 2 views | 15 | 15 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 12 | 12 | $0 |
| 76536 | Ultrasound scan of head and neck soft tissue | 11 | 11 | $0 |
Insurance plans in this area (ZIP 44304)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IA | |
| Clinical Social Worker | IA | |
| Clinical Social Worker | IA | |
| Sleep Medicine, Internal Medicine | IA | |
| - | IA | |
| Emergency Medicine, Family Practice | NE | |
| Mental Health Counselor | IA | |
| Clinical Social Worker | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.