Active NPI 1265642425 Individual Practitioner Male Practitioner

Dr. John Peter Herzog , DO

Orthopaedic Surgery • Falmouth, ME

Professional Overview & Biography Verified Profile Summary

Dr. John Herzog, DO is a registered healthcare professional specializing in Orthopaedic Surgery in Falmouth, ME. Practice services are available at 98 CLEARWATER DR under active NPI credentials.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 80 mg, aspiration and/or injection of fluid large joint using ultrasound guidance, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

98 Clearwater Dr
Suite 4

Falmouth, ME 041051398

Telephone 2077819077

Fax 2073478285

Associated Practice Facility / Clinic

🏢 Osteopathic Healthcare Of Maine, P.a. Facility NPI 1215154356

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Falmouth, ME

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.8 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Falmouth, ME (176 Statewide)

Telehealth Adoption Rate

36.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
J1040 Injection, methylprednisolone acetate, 80 mg	128	66	$10.63	$9.97
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	78	45	$275.00	$90.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$226.16	$164.74
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$98.24	$89.79
76881 Complete ultrasound of joint of arm or leg	29	21	$200.00	$59.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$150.00	$119.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	147	75	$10.00	$9.93
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	94	55	$275.00	$94.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$227.44	$166.92
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$95.00	$89.75
76881 Complete ultrasound of joint of arm or leg	22	16	$200.00	$67.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$150.00	$129.32
20610 Aspiration and/or injection of fluid from large joint	20	14	$125.25	$57.53
98926 Osteopathic manipulative treatment, 3-4 body regions	14	11	$100.00	$44.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$175.00	$111.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	142	78	$10.00	$9.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	81	54	$271.62	$86.91
76881 Complete ultrasound of joint of arm or leg	36	25	$200.00	$78.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$176.47	$105.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	26	$75.00	$44.10
20610 Aspiration and/or injection of fluid from large joint	22	19	$120.00	$57.88
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$95.00	$69.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	156	87	$10.00	$9.80
20610 Aspiration and/or injection of fluid from large joint	80	58	$120.00	$53.15
76881 Complete ultrasound of joint of arm or leg	59	49	$200.00	$88.18
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	47	36	$275.00	$85.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$175.00	$104.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$225.00	$162.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$75.00	$44.78
20926 Tissue graft	14	14	$700.00	$419.01
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	13	11	$370.00	$154.85
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$95.00	$73.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20926 Tissue graft	177	64	$700.34	$403.12
J1040 Injection, methylprednisolone acetate, 80 mg	134	83	$10.00	$9.84
20610 Aspiration and/or injection of fluid from large joint	130	73	$120.00	$45.38
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	126	53	$275.00	$44.77
76881 Complete ultrasound of joint of arm or leg	110	80	$200.00	$99.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$226.27	$156.32
99213 Established patient office or other outpatient visit, typically 15 minutes	33	25	$95.00	$70.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$175.00	$104.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20926 Tissue graft	107	46	$700.00	$402.59
J1040 Injection, methylprednisolone acetate, 80 mg	100	60	$10.00	$9.84
76881 Complete ultrasound of joint of arm or leg	99	72	$200.00	$114.69
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	80	39	$275.00	$44.94
20610 Aspiration and/or injection of fluid from large joint	80	51	$120.00	$45.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$225.00	$155.71
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$95.00	$69.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$75.00	$41.67
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	20	14	$370.00	$141.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$175.00	$103.21

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License ME 1107

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Keelyn Wu , DO

Neuromusculoskeletal Medicine & OMM

NPI 1356333686

Doctor of Osteopathic Medicine (D.O.)

Dr. Jennifer Hilton , DO

Neuromusculoskeletal Medicine & OMM

NPI 1902933617

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 22, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2009

Registered at 98 CLEARWATER DR, SUITE 4, FALMOUTH, ME 041051398 (Tel: 2077819077)

📍

Updated Business Mailing Address July 22, 2009

Registered at 98 CLEARWATER DR, SUITE 4, FALMOUTH, ME 041051398 (Tel: 2077819077)

👤

Provider Name / Credentials Updated July 22, 2009

Recorded as JOHN HERZOG, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2009

Orthopaedic Surgery (License #1107 in ME)

🟢

Initial NPI Registration & Enumeration May 23, 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: 1265642425

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 23, 2007

Last Update: July 22, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

98 Clearwater Dr, Suite 4

Falmouth, ME 041051398

Phone: 2077819077

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.