Peter Hertz, MD, DDS
NPI 1245391416 · Oral & Maxillofacial Surgery (D.M.D.) · Swansea, MA
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Hertz, MD, DDS is a Oral & Maxillofacial Surgery (D.M.D.) provider in Swansea, MA (NPI 1245391416).
Provider details
- NPI number
- 1245391416
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD, DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD00035886 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
65 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 24 | $163 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 16 | $160 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 14 | $55 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 11 | $107 |
Typical Medicare-allowed amounts for these services range $55–$163 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ibuprofen | 70 | 62 |
| Oxycodone Hcl | 59 | 42 |
| Amoxicillin | 52 | 37 |
| Lidocaine Hclbrand: Lidocaine Hcl Viscous | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2012-09-05
Frequently asked questions
- What is Peter Hertz's NPI number?
- Peter Hertz's National Provider Identifier (NPI) is 1245391416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Hertz's specialty?
- Peter Hertz is listed in the NPPES registry with a primary specialty of Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Peter Hertz located?
- Peter Hertz's practice location on file with NPPES is 1010 Gar Hwy, Swansea, MA 02777-4566.
- What is Peter Hertz's phone number?
- The practice phone number listed in the NPPES registry for Peter Hertz is (508) 676-3041.
- Does Peter Hertz accept Medicare?
- Peter Hertz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peter Hertz's NPI active?
- Yes — Peter Hertz's NPI (1245391416) is active in the NPPES registry as of the last update on 2012-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.