Individual provider Active NPI

Jackson Herzog

  • Diagnostic Radiology Physician
  • Mason City, IA
National Provider Identifier
1033501010
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
52524 Issued in IA
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

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230510000553 OH Practitioner - Diagnostic Radiology 6103173034 Reassigns benefits to 1 organization
I20240523001807 IA Practitioner - Diagnostic Radiology 6103173034 Reassigns benefits to 6 organizations
I20260521000976 IL Practitioner - Diagnostic Radiology 6103173034

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
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, shared by 6 NPIs, 94 clinicians
Radiologists of North Iowa PCGroup PAC ID 4981592730, 13 clinicians
Belmond Community HospitalGroup PAC ID 1052201852, shared by 7 NPIs, 86 clinicians

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 Hospital, Mason City, IA, CCN 160064
  • Kossuth Regional Health Center Hospital, Algona, IA, CCN 161353
  • Hansen Family Hospital Hospital, Iowa Falls, IA, CCN 161380
  • Hancock County Health System Hospital, Britt, IA, CCN 161307
  • Palo Alto County Hospital Hospital, Emmetsburg, IA, CCN 161357

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

Merit-based Incentive Payment System (MIPS)

Final score
97.33 of 100Reported as group
Quality
94.65
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036178771ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belmond Community Hospital Current Accepting new patients
Radiologists of North Iowa PC CurrentSince Aug 25, 2024 Accepting new patients
Oncall Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Jul 16, 2024 Accepting new patients
Magnetic Resonance Services PTR CurrentSince Nov 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Apr 1, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Apr 1, 2025 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

  • Direct secure messaging: jherzog1132065@direct.hfhs.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.