DR. ARTHUR R FERNANDEZ MD
NPI 1053354555
Emergency Medicine in Corpus Christi, TX

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
97.26/100
CMS Quality Rating
14493 SOUTH PADRE ISLAND DRIVE, SUITE A, CORPUS CHRISTI, TX 78418(713) 204-8341 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Arthur R Fernandez Md NPPES

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

DR. ARTHUR R FERNANDEZ MD (NPI 1053354555) is an individual emergency medicine provider in Corpus Christi, Texas, licensed in Texas (M2617) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital Of Laredo, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1053354555
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ARTHUR R FERNANDEZCredential: MD
Location Address14493 SOUTH PADRE ISLAND DRIVE, SUITE ACorpus Christi, TX 78418
Mailing Address14102 Cabana North StreetCorpus Christi, TX 78418 · (361) 949-9420
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 29, 2015
✔ NPI 1053354555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · M2617
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
14493 SOUTH PADRE ISLAND DRIVE, Corpus Christi, TX 78418

Other Identifiers 1

Medicare UPINI60082TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Arthur R Fernandez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890791131
PECOS Enrollment IDI20061010000757
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Arthur Fernandez reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2500 E MAIN ST
Alice, TX 78332
  • Reassigned Medicare billing, Texas enrollment
  • 173 clinicians in this Medicare group
Emergency Medicine
3615 N. INTERSTATE 69C
Edinburg, TX 78541
  • Reassigned Medicare billing, Texas enrollment
  • 154 clinicians in this Medicare group
Emergency Medicine
1102 W TRENTON RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 257 clinicians in this Medicare group
Emergency Medicine
4702 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 136 clinicians in this Medicare group
Emergency Medicine
140 FRONTAGE RD
Alamo, TX 78516
  • Reassigned Medicare billing, Texas enrollment
  • 145 clinicians in this Medicare group
Emergency Medicine
3700 WEST NOLANA AVENUE
Mcallen, TX 78504
  • Reassigned Medicare billing, Texas enrollment
  • 150 clinicians in this Medicare group
Emergency Medicine
10700 MCPHERSON AVE
Laredo, TX 78045
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
Emergency Medicine
1700 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 86 clinicians in this Medicare group
Emergency Medicine
1300 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
51 services48 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
32 services30 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hospital Of Laredo

Acute Care Hospitals · Laredo, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450643
Location10700 Mcpherson RoadLaredo, TX 78041 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78418 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

97.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.87
Improvement Activities40
Cost74.28

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 Arthur Fernandez's NPI number?

The NPI number for Arthur Fernandez is 1053354555. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Arthur Fernandez located?

Arthur Fernandez practices at 14493 South Padre Island Drive Suite A, Corpus Christi, TX 78418. The listed phone number is (713) 204-8341.

What is Arthur Fernandez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Arthur Fernandez enrolled in Medicare?

Yes. Arthur Fernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Arthur Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arthur Fernandez reassigns Medicare benefits to 11 organizations: Guadalupe Emergency Medicine Associates, PA (Alice, TX), Municipal Emergency Medicine Associates, PA (Edinburg, TX), Edinburg Emergency Medicine Associates PA (Edinburg, TX), Shavano Emergency Medicine Associates, PA (Edinburg, TX), Canyon Springs Emergency Medicine Associates, PA (Alamo, TX) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arthur Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arthur Fernandez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Arthur Fernandez 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.

Is Arthur Fernandez affiliated with any hospitals?

According to CMS data, Arthur Fernandez is affiliated with Doctors Hospital Of Laredo.

When was this NPI record last updated?

The NPPES record for Arthur Fernandez was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.