Active NPI
Jackson Herzog
- Diagnostic Radiology Physician
- Mason City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 52524
- Practice address
- 1416 6TH St SW
Mason City, IA 50401-4818 - Phone
- (641) 424-0102
- NPI assigned
- Feb 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036178771 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 52524 | IA | Primary |
Addresses
Primary practice location
1416 6TH St SW
Mason City, IA 50401-4818
Mailing address
1416 6TH St SW
Mason City, IA 50401-4818
Phone (641) 424-0102
Other practice location 1
1316 S Main St
Clarion, IA 50525-2019
Phone (844) 474-4321
Other practice location 2
55 Arch St Ste 1B
Akron, OH 44304-1436
Phone (330) 375-7779
Other practice location 3
2700 1st Ave S
Fort Dodge, IA 50501-4300
Phone (844) 474-4321
Other practice location 4
104 S Story St
Boone, IA 50036-4737
Phone (844) 474-4321
Other practice location 5
403 1st St SE
Belmond, IA 50421-1201
Phone (844) 474-4321
Other practice location 6
1924 Superior St
Webster City, IA 50595-3146
Phone (844) 474-4321
Other practice location 7
401 S 17th St
Clear Lake, IA 50428-2304
Phone (844) 474-4321
Other practice location 8
840 W US Highway 18
Garner, IA 50438-1023
Phone (844) 474-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Northwestern University Feinberg Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Specialty Hospital- ClarionBelmond Community Hospital
Practice addresses (Care Compare)
12 Deer Creek CT
Mason City, IA 50401-2504
Phone (586) 464-0731
1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811
1416 6TH St SW
Mason City, IA 50401-4818
Phone (641) 424-0102
403 1St St SE
Iowa Specialty Hospital Belmond
Belmond, IA 50421-1201
Phone (641) 444-3500
Hospital & facility affiliations
- Mercyone North Iowa Medical Center
- Kossuth Regional Health Center
- Hansen Family Hospital
- Hancock County Health System
- Palo Alto County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.33 of 100
- Quality
- 94.65
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036178771 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belmond Community Hospital | Current | Accepting new patients | |
| Radiologists of North Iowa PC | Current | Accepting new patients | |
| Oncall Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Eastpointe Radiologists, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Magnetic Resonance Services PTR | Current | Accepting new patients | |
| Belmond Community Hospital | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Eastpointe Radiologists, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223
104 S Story St
Boone, IA 50036
Phone (515) 432-1642
1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811
215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836
401 S 17th St
Clear Lake, IA 50428
Phone (515) 832-1200
2700 1st Ave S
Fort Dodge, IA 50501
Phone (515) 576-3338
2700 1st Ave S
Ste 100
Fort Dodge, IA 50501
Phone (515) 955-6767
840 W US Highway 18
Garner, IA 50438
Phone (641) 925-1500
1416 6th St SW
Mason City, IA 50401
Phone (515) 424-4932
51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772
36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980
17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500
46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170
46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100
21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
Interoperability endpoints
- jherzog1132065@direct.hfhs.org
- jherzog3946787@direct.trinity-health.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Mason City, IA
- NPI 1942252051
-
- Family Medicine Physician
- Belmond, IA
- NPI 1821122623
-
- Critical Access Hospital
- Belmond, IA
- NPI 1932142726
-
- Critical Access Hospital
- Clarion, IA
- NPI 1396760153
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Mason City, IA
- NPI 1093767113
-
- Gynecology Physician
- Mason City, IA
- NPI 1548093628
-
- Diagnostic Radiology Physician
- Grosse Pointe Woods, MI
- NPI 1558409649
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Iowa Falls, IA
- NPI 1831296052
-
- Critical Access Hospital
- Britt, IA
- NPI 1912938606
-
- Critical Access Hospital
- Algona, IA
- NPI 1841361276
-
- Rural Acute Care Hospital
- Mason City, IA
- NPI 1467537886
-
- Critical Access Hospital
- Emmetsburg, IA
- NPI 1790793651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1033501010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 6TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504014818",
"telephone_number": "641-424-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 6TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504014818",
"telephone_number": "641-424-0102"
}
],
"practiceLocations": [
{
"address_1": "1316 S Main St",
"address_purpose": "LOCATION",
"city": "Clarion",
"state": "IA",
"postal_code": "505252019",
"country_code": "US",
"telephone_number": "844-474-4321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Arch St Ste 1B",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443041436",
"country_code": "US",
"telephone_number": "330-375-7779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 1st Ave S",
"address_purpose": "LOCATION",
"city": "Fort Dodge",
"state": "IA",
"postal_code": "505014300",
"country_code": "US",
"telephone_number": "844-474-4321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 S Story St",
"address_purpose": "LOCATION",
"city": "Boone",
"state": "IA",
"postal_code": "500364737",
"country_code": "US",
"telephone_number": "844-474-4321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 1st St SE",
"address_purpose": "LOCATION",
"city": "Belmond",
"state": "IA",
"postal_code": "504211201",
"country_code": "US",
"telephone_number": "844-474-4321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1924 Superior St",
"address_purpose": "LOCATION",
"city": "Webster City",
"state": "IA",
"postal_code": "505953146",
"country_code": "US",
"telephone_number": "844-474-4321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 S 17th St",
"address_purpose": "LOCATION",
"city": "Clear Lake",
"state": "IA",
"postal_code": "504282304",
"country_code": "US",
"telephone_number": "844-474-4321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "840 W US Highway 18",
"address_purpose": "LOCATION",
"city": "Garner",
"state": "IA",
"postal_code": "504381023",
"country_code": "US",
"telephone_number": "844-474-4321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERZOG",
"first_name": "JACKSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-26",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036178771",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "52524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.