NPI Details
DR. Jacques A Herzog, MD is an otology and neurotology otolaryngology in Saint Louis, MO with 46 years of experience. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. DR. Jacques A Herzog, MD NPI is 1255330650. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:1980
The provider's business location address is:
450 N NEW BALLAS RD
DEPT OTOLARYNGOLOGY, STE 140
SAINT LOUIS, MO
ZIP 63141-859
Phone: (314) 362-7509
Fax: (314) 453-0561
The NPI 1255330650 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Exam of ear using a microscope (HCPCS:92504)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Insertion of cochlear device (HCPCS:69930)
- Obtaining ear cartilage for grafting (HCPCS:21235)
The enumeration date for this NPI number is 7/18/2005 and was last updated on 4/17/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 174400000X | Specialist | | R7F68 | MISSOURI | No |
| 2 | 207YX0901X | Otolaryngology | Otology & Neurotology | R7F68 | MISSOURI | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 202326427 | MEDICAID | MISSOURI | |
