NPIMap

Individual provider Active NPI

John C Herzog, DO

  • Orthopaedic Surgery of the Spine Physician
  • Saratoga Springs, NY
National Provider Identifier
1255377438
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
2143821 Issued in NY
Practice address
31 Myrtle St
Saratoga Springs, NY 12866-1036
Phone
(518) 587-0845
Fax
(518) 587-5068
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 2143821 NY Primary

Addresses

Primary practice location

31 Myrtle St
Saratoga Springs, NY 12866-1036

Mailing address

PO Box 819
Saratoga Springs, NY 12866-0819
Phone (518) 587-0845

Other identifiers 1

IdentifierTypeStateIssuer
2657261MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL appts@saratogaspine.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000792 NY Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 7214966134 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians
Saratoga Regional Medical , P.CGroup PAC ID 9032438544, 23 clinicians

Practice addresses (Care Compare)

1 W Ave
Suite 300
Saratoga Springs, NY 12866-6050
Phone (518) 693-4699

16 Degrandpre Way
Suite 100
Plattsburgh, NY 12901-6452
Phone (518) 262-0900

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

31 Myrtle St
Saratoga Springs, NY 12866-1036
Phone (518) 262-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion135
Laminectomy or laminotomy (partial removal of spine bones)36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2143821NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John C. Herzog, DO, PLLC CurrentSince Aug 5, 2008 Accepting new patients
Saratoga Regional Medical , P.C Current Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Apr 1, 2025 Accepting new patients
Saratoga Hospital CurrentSince Apr 1, 2025 Accepting new patients
Saratoga Hospital CurrentSince Apr 1, 2025 Accepting new patients
John C. Herzog, DO, PLLC Orthopaedic Surgery of the Spine CurrentSince Aug 15, 2008 Accepting new patients
Saratoga Hospital Current Accepting new patients
John C Herzog, DO PLLC Orthopaedic Surgery of the Spine Past Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

7 Murray St
Glens Falls, NY 12801
Phone (518) 743-1010

2388 Route 9
Mechanicville, NY 12118
Phone (518) 587-0845

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

16 Degrandpre Way
Ste 100
Plattsburgh, NY 12901
Phone (518) 262-0900

15 Maple Dell
Ste 1
Saratoga Springs, NY 12866
Phone (518) 583-7400

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

31 Myrtle St
Saratoga Springs, NY 12866
Phone (518) 262-0900

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

Organizations & group practices 9

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 18

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

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1255377438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128660819",
            "telephone_number": "518-587-0845",
            "fax_number": "518-587-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MYRTLE ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661036",
            "telephone_number": "518-587-0845",
            "fax_number": "518-587-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "2143821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2657261",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "appts@saratogaspine.com",
            "affiliation": "N",
            "endpointDescription": "appts email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "31 Myrtle St",
            "city": "Saratoga Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128661036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.