Individual provider Active NPI

Thomas Harry Herzog, MD

  • Orthopaedic Surgery Physician
  • Ogdensburg, NY
National Provider Identifier
1760435952
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
255987 Issued in NY
Practice address
3 Lyon Place
Ogdensburg, NY 13669
Phone
(315) 713-6643
Fax
(866) 506-5573
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME46735 FL
Orthopaedic Surgery Physician 207X00000X 255987 NY Primary

Addresses

Primary practice location

3 Lyon Place
Ogdensburg, NY 13669

Mailing address

3 Lyon Place
Ogdensburg, NY 13669
Phone (315) 394-7542

Other identifiers 3

IdentifierTypeStateIssuer
03117948MedicaidNY
041980000MedicaidFL
03193937MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000853 NY Practitioner - Orthopedic Surgery 4183648439 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Georgia School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claxton-Hepburn Medical CenterGroup PAC ID 8426966508, 78 clinicians
Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians

Practice addresses (Care Compare)

100 Horwood PL
Ogdensburg, NY 13669-4510
Phone (315) 394-9462

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255987NYMDOrthopaedic Surgery Physician
ME46735FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc Current Accepting new patients
Claxton Medical PC Orthopaedic Surgery CurrentSince Feb 15, 2010 Accepting new patients
Claxton Medical PC CurrentSince Feb 15, 2010 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Sep 15, 2018 Accepting new patients
Carthage Area Hospital Inc CurrentSince Mar 7, 2025 Accepting new patients
Carthage Area Hospital Inc CurrentSince Mar 7, 2025 Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery Past Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

3 Lyon Pl
Ste 200
Ogdensburg, NY 13669
Phone (315) 394-7542

3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: therzog@cahclinics.medentdirect.com
  • Direct secure messaging: therzog@hiemail.healtheconnections.org
  • Direct secure messaging: thomas.herzog@claxton.eclinicaldirectplus.com

Organizations & group practices 7

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 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1760435952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LYON PLACE",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-394-7542",
            "fax_number": "866-506-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LYON PLACE",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-713-6643",
            "fax_number": "866-506-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "THOMAS",
        "middle_name": "HARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME46735",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "255987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03117948",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041980000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03193937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.