Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902963614 Individual Practitioner Male Practitioner

Robert Herzog , PA

Physician Assistant • Carbondale, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Robert Herzog, PA is a certified Physician Assistant practicing in Carbondale, IL. With approximately 23 years of clinical experience since completing medical education in 2003, Robert Herzog delivers high-quality medical care to the local community at 2601 W MAIN ST.

Robert Herzog is affiliated with Marshall Browning Hospital Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include urinalysis, manual test, detection test by immunoassay with direct visual observation for influenza virus, detection test by immunoassay with direct visual observation for streptococcus, group a (strep). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2601 W Main St

Carbondale, IL 629011031

Telephone 6185495361
Fax 6183514878
Associated Practice Facility / Clinic
🏢 The Carbondale Clinic Facility NPI 1043378565

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carbondale, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +10.8 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
71 Specialists

Practicing in Carbondale, IL (4958 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herzog (23 Years) 23 Yrs
Carbondale Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81002 Urinalysis, manual test
45 42 $18.91 $3.44
87804 Detection test by immunoassay with direct visual observation for influenza virus
26 13 $37.00 $16.29

Medical Specialties & State Licenses

CMS Verified: 2023-10-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-002116

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Hamp Ins. Number
086861 (IL)
Commercial Insurance / Payer ID Ghp
086861 (IL)
Commercial Insurance / Payer ID Aetna
7210895 (IL)
Commercial Insurance / Payer ID Bcbs Of Il
3932056 (IL)
Commercial Insurance / Payer ID Healthlink
619456 (IL)

Hospital & Practice Group Affiliations

Marshall Browning Hospital Association

900 N Washington St, Du Quoin, IL 628321233

Phone: 6185422146

Marshall Browning Hospital Association

Po Box, Du Quoin, IL 628320192

Marshall Browning Hospital Association

900 N Washington St, Du Quoin, IL 628321230

Secondary Practice Locations

900 N Washington St

Du Quoin, IL 628321233

Phone: 6185421050

502 W Saint Louis St Ste 4

West Frankfort, IL 628961968

Phone: 6189373400

405 Rushing Dr

Herrin, IL 629483730

Phone: 6189933000

905 N Washington Street

Du Quoin, IL 628326283

Phone: 6185421050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Melissa Martinez Mateo , MD

Internal Medicine - Gastroenterology

NPI 1003124280

Doctor of Medicine (M.D.)

Cynthia Snider , APRN

Nurse Practitioner

NPI 1003478066

Advanced Practice Registered Nurse

NPI 1003598269

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Lindsay Casolari , NP

Nurse Practitioner

NPI 1043846421

Nurse Practitioner

Dr. Is-Haq Malik , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1063998862

Doctor of Medicine (M.D.)

Jannice Edmonson , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083578348

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address October 30, 2020

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

NPI Profile Active July 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2011

Registered at 2601 W MAIN ST, CARBONDALE, IL 629011031 (Tel: 6185495361)

📍
Updated Business Mailing Address July 11, 2011

Registered at PO BOX 1105, INDIANAPOLIS, IN 462061105 (Tel: 6185495361)

👤
Provider Name / Credentials Updated July 11, 2011

Recorded as ROBERT HERZOG, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2011

Physician Assistant (License #085-002116 in IL)

🟢
Initial NPI Registration & Enumeration January 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902963614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: October 13, 2023
Sole Proprietor: No

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.