PEDRO HERNANDEZ M.D. NPI 1003008327
Surgery in Asheboro, NC
About PEDRO HERNANDEZ M.D.
Pedro Hernandez is a provider established in Asheboro, North Carolina and his medical specialization is Surgery. The NPI number of this provider 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 8 years ago.
| NPI | 1003008327 |
| Provider Name | PEDRO HERNANDEZ M.D. |
| Location Address | 364 WHITE OAK ST ASHEBORO, NC 27203 |
| Location Phone | (814) 443-8225 |
| Mailing Address | 5220 BELFORT RD SUITE 130 JACKSONVILLE, FL 32256 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 08-10-2007 |
| Last Update Date | 06-24-2015 |
A surgeon like Pedro Hernandez 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 health care 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..
Primary Taxonomy
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.
| Taxonomy Code | 208600000X |
| Classification | Surgery |
| Type | Allopathic & Osteopathic Physicians |
| License No. | TD071045 |
| License State | ME |
| Taxonomy Description | A 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
364 WHITE OAK ST
ASHEBORO, NC
ZIP 27203
Phone: (814) 443-8225
Fax: (904) 446-3013
Mailing Address
5220 BELFORT RD
SUITE 130
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 446-3451
Fax: (904) 446-3013
Location Map
PECOS Enrollment and Medicare Participation Status
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.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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)
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 | Identifier Issuer |
|---|---|---|---|
| TD71045 | OTHER (01) | ME | MAINE TEMPORARY LICENSE |
| 2011-01205 | OTHER (01) | NC | MD LICENSE |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 8 | 3 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 16 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 1 + 6 + 3 + 4 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1003008327 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568463735 | DR. 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 |
| 1902892839 | MR. JOSEPH CARLOS CONRAD CRNA Individual | Nurse Anesthetist, Certified Registered | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 683-5284 |
| 1770579609 | DR. PETER MARTIN CARIGNAN MD Individual | Anesthesiology | 364 WHITE OAK ST ANESTHESIA DEPARTMENT ASHEBORO, NC 27203 (336) 683-5284 |
| 1275529976 | DR. JAMES KIRK WILSON MD Individual | Anesthesiology | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 683-5284 |
| 1255328449 | RANDOLPH HOSPITAL INC. Organization | General Acute Care Hospital | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 625-5151 |
| 1922081322 | MR. CLARK CURTIS TOMLINSON CRNA Individual | Nurse Anesthetist, Certified Registered | 364 WHITE OAK ST RANDOLPH HOSPITAL ASHEBORO, NC 27203 (336) 683-5284 |
| 1447229984 | DR. JOSEPH P ISLEY MD Individual | Internal Medicine | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 625-5151 |
| 1316902794 | NORALEA ELIZABETH MEIKI ROSE MD Individual | Emergency Medicine | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 629-8807 |
| 1689630469 | PRIMEDOC OF RANDOLPH COUNTY PA Organization | Internal Medicine | 364 WHITE OAK ST ASHEBORO, NC 27203 (843) 237-3378 |
| 1023113164 | ASHEBORO PATHOLOGY SERVICES, INC Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 633-7789 |
| 1962597401 | DR. ERIC H HELSABECK M.D. Individual | Emergency Medicine | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 629-8807 |
| 1568557122 | DR. JULIE C HAVILAND M.D. Individual | Emergency Medicine | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 629-8807 |
| 1811082365 | DR. DONALD SCOTT HILL M.D. Individual | Emergency Medicine | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 629-8807 |
| 1356436083 | DR. JODY N OSBORNE M.D. Individual | Emergency Medicine | 364 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 |
| 1750407102 | QUANTUM HEALTH GROUP, P.A. Organization | Hospitalist | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 633-7723 |
| 1073718094 | RANDOLPH HOSPITAL INC. Organization | Dietitian, Registered | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 328-3442 |
| 1427215300 | DR. SAMUEL CHRISTIAN KEITH D.O. Individual | Emergency Medicine | 364 WHITE OAK ST ASHEBORO, NC 27203 (336) 625-5151 |
Frequently Asked Questions
What is Pedro Hernandez M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003008327, registered as an "individual" on August 10, 2007
Where is Pedro Hernandez M.D. located?
The provider is located at 364 White Oak St Asheboro, Nc 27203 and the phone number is (814) 443-8225
Which is Pedro Hernandez M.D. specialty?
The provider's speciality is Surgery
What insurance does Pedro Hernandez M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Pedro Hernandez M.D. registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.
How much is a visit to Pedro Hernandez M.D.?
Medicare beneficiaries should expect a typical cost of $87.2 with an average copayment of $21.8 for new patient appointments. Established patients should expect a typical charge of $70.95 and an average copayment of 17.73. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Pedro Hernandez M.D.?
The most common procedures or services performed by this practitioner are: Removal of skin and tissue first 20 sq cm or less and Removal of tissue from wounds per session.
How do I update my NPI information?
The NPI record of Pedro Hernandez M.D. was last updated on August 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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