Active NPI
Darren T Herzog, MD
- Orthopaedic Surgery Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 75684
- Practice address
- 107 E Oak Ave Ste 101
Flagstaff, AZ 86001-1818 - Phone
- (928) 779-7880
- Fax
- (928) 779-7895
- NPI assigned
- Aug 21, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MED-PHYS-LIC-50222 | MT | |
| Orthopaedic Surgery Physician | 207X00000X | 50222 | MT | |
| Orthopaedic Surgery Physician | 207X00000X | 4301092372 | MI | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MED-PHYS-LIC-50222 | MT | |
| Orthopaedic Surgery Physician | 207X00000X | 75684 | AZ | Primary |
Addresses
Primary practice location
107 E Oak Ave Ste 101
Flagstaff, AZ 86001-1818
Mailing address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6235
Other practice location 1
10 Kruger Rd
Plains, MT 59859
Phone (406) 826-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250103000569 | AZ | Practitioner - Orthopedic Surgery | 9133375512 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Arizona Healthcare Corporation
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
Hospital & facility affiliations
- Verde Valley Medical Center
- Flagstaff Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 37 |
| Knee replacement | 17 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50222 | MT | MD | Orthopaedic Surgery Physician |
| MED-PHYS-LIC-50222 | MT | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagstaff Pathology Associates | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
107 E Oak Ave
Flagstaff, AZ 86001
Phone (928) 779-7880
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
107 E Oak Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 774-1811
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
AZ, Orthopaedic Surgery
-
- Anatomic Pathology & Clinical Pathology Physician
- Flagstaff, AZ
- NPI 1306205612
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 6
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": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1710119953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-213-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E OAK AVE STE 101",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011818",
"telephone_number": "928-779-7880",
"fax_number": "928-779-7895"
}
],
"practiceLocations": [
{
"address_1": "10 Kruger Rd",
"address_purpose": "LOCATION",
"city": "Plains",
"state": "MT",
"postal_code": "59859",
"country_code": "US",
"telephone_number": "406-826-4800",
"fax_number": "406-826-4803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERZOG",
"first_name": "DARREN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-21",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MT",
"license": "MED-PHYS-LIC-50222",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MT",
"license": "50222",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301092372",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "MT",
"license": "MED-PHYS-LIC-50222",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "75684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.