Hazen Timothy Herzog, PHYSICIAN ASSISTANT
NPI 1932433190ActiveIndividual· Physician Assistant, Surgical· Coos Bay, OR
Physician Assistant, Surgical (PHYSICIAN ASSISTANT) with St Lukes Clinic-Treasure Valley LLC, practicing in Coos Bay, Oregon. Their prescriptions cost Medicare Part D more than their services did: $14,429 for 349 claims, against $5,521 paid for services in 2024. Enterra Medical, Inc. was the largest of 6 companies reporting payments in 2025, $339.80 in all, mostly food and beverage. Lists St Luke's Nampa Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1932433190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Sep 21, 2009 |
| Last updated in NPPES | Nov 8, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA152638 | OR |
| Physician Assistant | 363A00000X | 7462373-1206 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 69 |
|---|---|
| Services billed | 101 across 15 procedure codes |
| Paid by Medicare | $5,521 |
Part D prescriptions in 2024
| Prescriptions (claims) | 349 · 471 30-day fills |
|---|---|
| Patients | 87 |
| Total drug cost | $14,429 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliations
- St Luke's Nampa Medical CenterNampa, ID
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
- 2025$339.80 · 7 payments from 6 companies
- 2024$186.82 · 5 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Enterra Medical, Inc. | $156.47 | 1 |
| Novo Nordisk Inc | $77.45 | 1 |
| Intuitive Surgical, Inc. | $42.32 | 1 |
| Medtronic, Inc. | $28.74 | 2 |
| Heron Therapeutics, Inc. | $18.23 | 1 |
What the 2025 payments were for
- Food and Beverage$339.80 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other surgical physician assistants in Coos Bay
- 1548705585
- 1700112646
- 1326390121