PEDRO HERNANDEZ M.D.
NPI 1003008327
Surgery in Asheboro, NC

NPI Status: Active since August 10, 2007

Contact Information

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

Get Directions Reviews

  • Individual
  • Male
  • Surgery
  • PECOS Enrolled

About PEDRO HERNANDEZ

Pedro Hernandez is a provider established in Asheboro, North Carolina and his medical specialization is Surgery. The healthcare provider is registered in the NPI registry with number 1003008327 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 9 years ago.

NPI
1003008327
Provider Name
PEDRO HERNANDEZ M.D.
Gender
Male
Entity Type
Individual
Location Address
364 WHITE OAK ST ASHEBORO, NC 27203
Location Phone
(814) 443-8225
Location Fax
(904) 446-3013
Mailing Address
5220 BELFORT RD SUITE 130 JACKSONVILLE, FL 32256
Mailing Phone
(904) 446-3451
Mailing Fax
(904) 446-3013
Is Sole Proprietor?
No
Enumeration Date
08-10-2007
Last Update Date
06-24-2015
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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.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Cigna Healthcare

    • Connect Bronze 0 Indiv Med Deductible - HMO
    • Connect Bronze 5500 Indiv Med Deductible - HMO
    • Connect Bronze 6500 Indiv Med Deductible - HMO
    • Connect Bronze 9450 Indiv Med Deductible - HMO
    • Connect Bronze CMS Standard - HMO
    • Connect Gold CMS Standard - HMO
    • Connect Silver 1500 Indiv Med Deductible - HMO
    • Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Silver 3500 Indiv Med Deductible - HMO
    • Connect Silver 4500 Indiv Med Deductible - HMO
    • Connect Silver CMS Standard - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
TD71045OTHER (01)MEMAINE TEMPORARY LICENSE
2011-01205OTHER (01)NCMD LICENSE

PECOS Enrollment and Medicare Participation Status

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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 27203 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.2
  • Minimum New Patient Price $56.51
  • Maximum New Patient Price $172.65
  • Average New Patient Copayment $21.8
  • Minimum New Patient Copayment $14.12
  • Maximum New Patient Copayment $43.16

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.95
  • Minimum Established Patient Price $17.43
  • Maximum Established Patient Price $140.98
  • Average Established Patient Copayment $17.73
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $35.24

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for PEDRO HERNANDEZ M.D.

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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.
1003008327
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001634
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 = 77

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
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
1023113164ASHEBORO PATHOLOGY SERVICES, INC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 633-7789
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
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
1073718094RANDOLPH HOSPITAL INC.
Organization
Dietitian, Registered364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 328-3442
1427215300DR. SAMUEL CHRISTIAN KEITH D.O.
Individual
Emergency Medicine364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-5151
1558521088RANDOLPH HOSPITAL INC
Organization
Internal Medicine (Hematology & Oncology)364 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-5151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003008327, enumerated in the NPI registry as an "individual" on August 10, 2007

The provider is located at 364 White Oak St Asheboro, Nc 27203 and the phone number is (814) 443-8225

The provider's speciality is Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.

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.

This NPI record 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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