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OSCAR VIRGILIO CISNEROS HERCULES MD
NPI 1023545498
Internal Medicine in Bronx, NY

Active since May 17, 2017PECOS Enrolled
75/100
CMS Quality Rating

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, Jun 7, 2024, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Oscar Virgilio Cisneros Hercules Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSCAR VIRGILIO CISNEROS HERCULES MD (NPI 1023545498) is an individual internal medicine provider in Bronx, New York, licensed in New Jersey (25MA10868200) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Somerville.

NPPES Registry Identity

NPI1023545498
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOSCAR VIRGILIO CISNEROS HERCULESCredential: MD
Location Address4422 3RD AVEBronx, NY 10457-2545
Mailing Address4422 3rd AveBronx, NY 10457-2545 · (718) 960-9000
Phone(718) 960-9000
Sole ProprietorYes
Enumeration DateMay 17, 2017
Last NPPES UpdateAugust 22, 20245 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1023545498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA10868200✔ Licensed in PA · MD475231
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4422 3RD AVE, Bronx, NY 10457
Open in Google Maps ↗

Secondary Practice Location 1

Location 1110 Rehill AveSomerville, NJ 08876-2519 · Phone (908) 685-2200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oscar Virgilio Cisneros Hercules Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
560 services522 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
206 services194 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
63 services38 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAI LI D.O.
Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
ADERINOLA OMONIYI PHARMD
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6179
CATHERINE AKRAM TAWFIK DO
Dermatology
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6649
VALENTYNA OLINCHUK MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6211
DUSAY SALIH MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
KATHLEEN DIMAGGIO CNM, NP
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9415
DR. ROBERT ADLAI MENKEL M.D.
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
DEEPIKA KURUP
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oscar Cisneros Hercules's NPI number?

The NPI number for Oscar Cisneros Hercules is 1023545498. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Oscar Cisneros Hercules located?

Oscar Cisneros Hercules practices at 4422 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-9000.

What is Oscar Cisneros Hercules's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Oscar Cisneros Hercules enrolled in Medicare?

Yes. Oscar Cisneros Hercules is registered in the Medicare PECOS enrollment system.

What insurance does Oscar Cisneros Hercules accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Oscar Cisneros Hercules as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oscar Cisneros Hercules was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.