DR. FERNANDO FERNANDEZ DPM NPI 1003043464

Podiatrist (Primary Podiatric Medicine) in The Woodlands, TX

NPI 1003043464 Individual Male Years of Experience 16 Podiatrist Primary Podiatric Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About FERNANDO FERNANDEZ

Fernando Fernandez is a provider established in The Woodlands, Texas and his medical specialization is podiatrist (primary podiatric medicine) with more than 16 years of experience. He graduated from Kent State University College Of Podiatric Medicine in 2006. The NPI number of Fernando Fernandez is 1003043464 and was assigned on June 2009. The practitioner's primary taxonomy code is 213EP1101X with license number 1898 (TX). The provider is registered as an individual and his NPI record was last updated 5 years ago.

A podiatrist like Dr. Fernando Fernandez Dpm provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Fernando Fernandez 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) and a Home Health Agency (HHA)

Fernando Fernandez 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 Memorial Hermann Hospital System.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: care plan, diabetes mellitus: diabetic foot and ankle care, peripheral neuropathy - neurological evaluation, diabetes mellitus: diabetic foot and ankle care, ulcer prevention - evaluation of footwear, documentation of current medications in the medical record, e-prescribing, health information exchange exclusion, medication reconciliation, onc direct review attestation, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging and security risk analysis. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003043464

Provider NameDR. FERNANDO FERNANDEZ DPM
Provider Location Address9303 PINECROFT DRIVE SUITE 100 THE WOODLANDS, TX 77380
Provider Mailing Address9303 PINECROFT DRIVE SUITE 100 THE WOODLANDS, TX 77380
GenderMale
NPI Entity TypeIndividual
Medical School NameKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-12-2009
Last Update Date12-01-2016


Primary Taxonomy

Taxonomy Code213EP1101X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationPrimary Podiatric Medicine
License No.1898
License StateTX

Business Address

DR. FERNANDO FERNANDEZ DPM
9303 PINECROFT DRIVE
SUITE 100
THE WOODLANDS, TX
ZIP 77380
Phone: (281) 292-7000
Fax: (281) 292-5222

Get Directions


Mailing Address

DR. FERNANDO FERNANDEZ DPM
9303 PINECROFT DRIVE
SUITE 100
THE WOODLANDS, TX
ZIP 77380
Phone: (281) 292-7000
Fax: (281) 292-5222



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 ID3072650167
PECOS Enrollment IDI20091021000843
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 DevicesNo

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.

  • 299Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • 64X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 22Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • 19Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Care Plan 97% 400
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation 82% 164
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear 82% 162
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
Documentation of Current Medications in the Medical Record 91% 1666
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 98% 336
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation 73% 40
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 64% 1228
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 63% 395
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 94% 946
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 29
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 100% 1228
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 64% 1228
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.

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. Fernando Fernandez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MEMORIAL HERMANN HOSPITAL SYSTEM1635 NORTH LOOP WEST
HOUSTON, TX 77008
(713) 448-6796Acute Care Hospitals450184

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
8L19980MEDICARE UPIN (02)TX
207219101MEDICAID (05)TX
463176ZSELMEDICARE PIN (08)
1003043464MEDICARE PIN (08)TX

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649294885 C. DAWN SCHWAB DC
Individual
Chiropractor9303 PINECROFT DRIVE SUITE 200
THE WOODLANDS, TX 77380
(281) 292-6644
1881021871EXECUTIVE ENTERPRISES
Organization
Pharmacy9303 PINECROFT DRIVE SUITE 300
THE WOODLANDS, TX 77380
(346) 224-2125

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.