PEDRO HERNANDEZ M.D. NPI 1003008327

Surgery in Asheboro, NC

NPI 1003008327 Individual Male Years of Experience 46 Surgery PECOS Enrolled Accepts Medicare Approved Payment

About PEDRO HERNANDEZ

Pedro Hernandez is a provider established in Asheboro, North Carolina and his medical specialization is surgery with more than 46 years of experience. The NPI number of Pedro Hernandez is 1003008327 and was assigned on August 2007. The practitioner's primary taxonomy code is 208600000X with license number TD071045 (ME). The provider is registered as an individual and his NPI record was last updated 6 years ago.

A surgeon like Pedro Hernandez M.d. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Pedro Hernandez is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Pedro Hernandez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Randolph Hospital.

NPI

1003008327

Provider Name PEDRO HERNANDEZ M.D.
Provider Location Address364 WHITE OAK ST ASHEBORO, NC 27203
Provider Mailing Address5220 BELFORT RD SUITE 130 JACKSONVILLE, FL 32256
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1976
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-10-2007
Last Update Date06-24-2015


Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.TD071045
License StateME
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

PEDRO HERNANDEZ M.D.
364 WHITE OAK ST
ASHEBORO, NC
ZIP 27203
Phone: (814) 443-8225
Fax: (904) 446-3013

Get Directions


Mailing Address

PEDRO HERNANDEZ M.D.
5220 BELFORT RD
SUITE 130
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 446-3451
Fax: (904) 446-3013



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1052488475
PECOS Enrollment IDI20110928000009
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 200Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • 35Removal of tissue from wounds per session (HCPCS:97597)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Pedro Hernandez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
RANDOLPH HOSPITAL364 WHITE OAK STREET
ASHEBORO, NC 27204
(336) 625-5151Acute Care Hospitals340123

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
TD71045OTHER (01)ME
2011-01205OTHER (01)NC

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568463735DR. DAVID GOODWIN WILLIAMS MD
Individual
Radiology (Diagnostic Radiology)364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 629-6565
1538160072 RANDALL SCOTT TEAGUE MD
Individual
Radiology (Diagnostic Radiology)364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 629-6565
1891796330 RICKY DUANE LYERLY MD
Individual
Radiology (Diagnostic Radiology)364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 629-6565
1902892839MR. JOSEPH CARLOS CONRAD CRNA
Individual
Nurse Anesthetist, Certified Registered364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 683-5284
1770579609DR. PETER MARTIN CARIGNAN MD
Individual
Anesthesiology364 WHITE OAK ST ANESTHESIA DEPARTMENT
ASHEBORO, NC 27203
(336) 683-5284
1275529976DR. JAMES KIRK WILSON MD
Individual
Anesthesiology364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 683-5284
1255328449RANDOLPH HOSPITAL INC.
Organization
General Acute Care Hospital364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-5151
1922081322MR. CLARK CURTIS TOMLINSON CRNA
Individual
Nurse Anesthetist, Certified Registered364 WHITE OAK ST RANDOLPH HOSPITAL
ASHEBORO, NC 27203
(336) 683-5284
1447229984DR. JOSEPH P ISLEY MD
Individual
Internal Medicine364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-5151
1316902794 NORALEA ELIZABETH MEIKI ROSE MD
Individual
Emergency Medicine364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 629-8807
1689630469PRIMEDOC OF RANDOLPH COUNTY PA
Organization
Internal Medicine364 WHITE OAK ST
ASHEBORO, NC 27203
(843) 237-3378
1659488112ANESTHESIA OF RANDOLPH COUNTY PA
Organization
Anesthesiology364 WHITE OAK ST ANESTHESIA DEPARTMENT
ASHEBORO, NC 27203
(336) 683-5284
1023113164ASHEBORO PATHOLOGY SERVICES, INC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 633-7789
1689779720ASHEBORO EMERGENCY PHYSICIANS PA
Organization
Emergency Medicine364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 629-8807
1962597401DR. ERIC H HELSABECK M.D.
Individual
Emergency Medicine364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 629-8807
1568557122DR. JULIE C HAVILAND M.D.
Individual
Emergency Medicine364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 629-8807
1811082365DR. DONALD SCOTT HILL M.D.
Individual
Emergency Medicine364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 629-8807
1356436083DR. JODY N OSBORNE M.D.
Individual
Emergency Medicine364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 629-8807
1316034044 RICHARD E DATA M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 328-4100
1750407102QUANTUM HEALTH GROUP, P.A.
Organization
Hospitalist364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 633-7723

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.