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JOHNNY J HERNANDEZ DDS
NPI 1073636130
Dentist - General Practice in Bloomington, IL

Active since April 06, 2007Opted out of Medicare · through Dec 31, 2026
10 HEARTLAND DR, SUITE A, BLOOMINGTON, IL 61704(309) 662-0523(309) 662-7693 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnny J Hernandez Dds NPPES

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

JOHNNY J HERNANDEZ DDS (NPI 1073636130) is an individual general practice provider in Bloomington, Illinois and active in the NPI registry since April 2007. He has opted out of Medicare through December 31, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073636130
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHNNY J HERNANDEZCredential: DDS
Location Address10 HEARTLAND DR, SUITE ABloomington, IL 61704-7741
Mailing Address13715 Fawn DrBloomington, IL 61704-7834 · (309) 828-1110
Phone(309) 662-0523
Fax(309) 662-7693
Sole ProprietorYes
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073636130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10 HEARTLAND DR, Bloomington, IL 61704
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Johnny J Hernandez Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 31, 2014 through December 31, 2026.

Opt-Out Effective DateDecember 31, 2014
Opt-Out In Effect ThroughDecember 31, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. KEVIN KELSO SCHULTZ DDS
Dentist (General Practice)
10 HEARTLAND DR, SUITE C
BLOOMINGTON, IL 61704
McLean County (309) 663-1721
KEVIN K SCHULTZ, DDS, PC
Clinic/Center (Dental)
10 HEARTLAND DR, SUITE C
BLOOMINGTON, IL 61704
McLean County (309) 663-1721
HEARTLAND FOOT & ANKLE ASSOCIATES PC
Podiatrist (Foot & Ankle Surgery)
10 HEARTLAND DR, SUITE B
BLOOMINGTON, IL 61704
McLean County (309) 661-9975
H & H FAMILY DENTAL, PC
Dentist (General Practice)
10 HEARTLAND DR, SUITE A
BLOOMINGTON, IL 61704
McLean County (309) 662-0523
DR. MELISSA JOMARIE LOCKWOOD D.P.M.
Podiatrist (Foot & Ankle Surgery)
10 HEARTLAND DR, SUITE B
BLOOMINGTON, IL 61704
McLean County (309) 585-0523

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 Johnny Hernandez's NPI number?

The NPI number for Johnny Hernandez is 1073636130. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Johnny Hernandez located?

Johnny Hernandez practices at 10 Heartland Dr Suite A, Bloomington, IL 61704. The listed phone number is (309) 662-0523.

What is Johnny Hernandez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Johnny Hernandez enrolled in Medicare?

No. Johnny Hernandez has opted out of Medicare through December 31, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Johnny Hernandez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.