ANTONIO HERNANDEZ MD
NPI 1124135280
Anesthesiology - Critical Care Medicine in Nashville, TN
Quality Rating: 96.56 out of 100 score
NPI Status: Active since August 24, 2006
Contact Information
3601 TVC
NASHVILLE, TN
ZIP 37232
Phone: (615) 322-3000
- Individual
- Male
- Years of Experience 27
- Anesthesiology
- Critical Care Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ANTONIO HERNANDEZ
This page provides the complete NPI Profile along with additional information for Antonio Hernandez, a provider established in Nashville, Tennessee with a medical specialization in Anesthesiology, focusing in critical care medicine and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1124135280 assigned on August 2006. The practitioner's primary taxonomy code is 207LC0200X with license number MD49136 (TN). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1124135280
- Provider Name
- ANTONIO HERNANDEZ MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3601 TVC NASHVILLE, TN 37232
- Location Phone
- (615) 322-3000
- Mailing Address
- 3841 GREEN HILLS VILLAGE DR STE 200 NASHVILLE, TN 37215
- Mailing Phone
- (615) 322-3000
- Medical School Name
- OTHER
- Graduation Year
- 1999
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-24-2006
- Last Update Date
- 03-16-2022
- Code Navigator
Location Map
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
Anesthesiology Critical Care Medicine
- Taxonomy Code
- 207LC0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD49136
- License State
- TN
- Taxonomy Description
- An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | L6425 (TX) |
2 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | MD49136 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*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 |
---|---|---|---|
158021902 | MEDICAID (05) | TX |
Medicare Participation & PECOS Enrollment Status
Antonio Hernandez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Antonio 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
PECOS PAC ID: 2163463340
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130204000404
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for procedure to assess heart electrical activity
Critical care, each additional 30 minutes
Critical care, first 30-74 minutes
Insertion of artery tube for blood sampling or infusion through skin
Insertion of tube in pulmonary artery for monitoring
Ultrasound of heart blood flow, valves and chambers
Ultrasound of heart with color-depicted blood flow, rate and valve function
Ultrasound of heart with probe in esophagus, with report
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
This service was performed 12 times for 12 patientsCritical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
This service was performed 41 times for 19 patientsCritical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 45 times for 22 patientsThis procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
This service was performed 24 times for 23 patientsThis procedure involves placing a tube into your pulmonary artery, which is a blood vessel in your lungs. The tube helps monitor heart function and blood flow, providing vital information for your treatment. It's typically done under local anesthesia to minimize discomfort.
This service was performed 12 times for 12 patientsAn ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
This service was performed 16 times for 16 patientsAn ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
This service was performed 15 times for 15 patientsThis procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.
This service was performed 16 times for 16 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.56, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 96.56 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 84.99
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Antonio Hernandez is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
VANDERBILT UNIVERSITY MEDICAL CENTER | 1211 MEDICAL CENTER DRIVE NASHVILLE, TN 37232 | (615) 322-3454 | Acute Care Hospitals |
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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. | |||||||||
1 | 1 | 2 | 4 | 1 | 3 | 5 | 2 | 8 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 4 | 4 | 2 | 3 | 10 | 2 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 4 + 4 + 2 + 3 + 1 + 0 + 2 + 1 + 6 + 24 = 50 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1124135280 is valid because the calculated check digit 0 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.
VINCENT A JACKSON CRNA
Nurse Anesthetist, Certified Registered
3601 TVC
NASHVILLE, TN
ZIP 37232
AMY LEANNE LEWIS MSN
Nurse Practitioner
(Family)
3601 TVC
NASHVILLE, TN
ZIP 37232
FRANCIS ANDREW GAFFNEY MD
Internal Medicine
(Cardiovascular Disease)
3601 TVC
NASHVILLE, TN
ZIP 37232
DR. DANIELLE SHERRI CHERDAK M.D.
Psychiatry & Neurology
(Neurology)
3601 TVC
NASHVILLE, TN
ZIP 37232
ANNETTE OLSEN CRNA
Nurse Anesthetist, Certified Registered
3601 TVC
NASHVILLE, TN
ZIP 37232
JOHN A LUCAS III MD
Obstetrics & Gynecology
(Reproductive Endocrinology)
3601 TVC
NASHVILLE, TN
ZIP 37232
MR. RICKY DALE LYLE CRNA
Nurse Anesthetist, Certified Registered
3601 TVC
NASHVILLE, TN
ZIP 37232
DR. RONALD CLARK WALKER M.D.
Nuclear Medicine
3601 TVC
NASHVILLE, TN
ZIP 37232
ASHA KALLIANPUR MD, MPH
Internal Medicine
(Hematology)
3601 TVC
NASHVILLE, TN
ZIP 37232
DOUGLAS KERNODLE MD
Internal Medicine
(Infectious Disease)
3601 TVC
NASHVILLE, TN
ZIP 37232
MATTHEW BREYER MD
Internal Medicine
(Nephrology)
3601 TVC
NASHVILLE, TN
ZIP 37232
JAMES NASH MD
Psychiatry & Neurology
(Neurodevelopmental Disabilities)
3601 TVC
NASHVILLE, TN
ZIP 37232
RAYMOND DUBOIS MD
Internal Medicine
(Gastroenterology)
3601 TVC
NASHVILLE, TN
ZIP 37232
HERBERT MELTZER MD
Anesthesiology
(Pain Medicine)
3601 TVC
NASHVILLE, TN
ZIP 37232
JAMES LOYD MD
Internal Medicine
(Pulmonary Disease)
3601 TVC
NASHVILLE, TN
ZIP 37232
WILLIAM SCHAFFNER MD
Internal Medicine
(Infectious Disease)
3601 TVC
NASHVILLE, TN
ZIP 37232
ALFRED GEORGE MD
Internal Medicine
(Nephrology)
3601 TVC
NASHVILLE, TN
ZIP 37232
RICHARD STEIN MD
Internal Medicine
(Hematology)
3601 TVC
NASHVILLE, TN
ZIP 37232
JANE HOWARD MD
Psychiatry & Neurology
(Neurology)
3601 TVC
NASHVILLE, TN
ZIP 37232
BONNIE SLOVIS MD
Internal Medicine
(Pulmonary Disease)
3601 TVC
NASHVILLE, TN
ZIP 37232
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124135280, enumerated as an "individual" on August 24, 2006.
The provider is located at 3601 TVC NASHVILLE, TN 37232 and the phone number is (615) 322-3000.
Anesthesiology with taxonomy code 207LC0200X and a focus in Critical Care Medicine.
The provider might be accepting Accepts: Alliant Health Plans, Inc., BlueCross BlueShield. Please consult your insurance carrier or call the provider to verify.
Antonio Hernandez is affiliated with: VANDERBILT UNIVERSITY MEDICAL CENTER.