ANGELICA M HERNANDEZ M.D.
NPI 1164484523
Obstetrics & Gynecology - Gynecology in West Islip, NY

Active since April 03, 2006PECOS Enrolled
98.52/100
CMS Quality Rating
320 MONTAUK HWY, WEST ISLIP, NY 11795(631) 587-2500(631) 587-0292 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angelica M Hernandez M.d. NPPES

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

ANGELICA M HERNANDEZ M.D. (NPI 1164484523) is an individual gynecology provider in West Islip, New York, licensed in New York (231840) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1164484523
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameANGELICA M HERNANDEZCredential: M.D.
Location Address320 MONTAUK HWYWest Islip, NY 11795-4401
Mailing Address45 Research WayEast Setauket, NY 11733-6401 · (631) 615-8279 · Fax (631) 350-7200
Fax(631) 587-0292
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 3, 2006
Last NPPES UpdateOctober 14, 2021
NPPES CertifiedOctober 14, 2021
NPI 1164484523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in NY · 231840
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
320 MONTAUK HWY, West Islip, NY 11795

Other Identifiers 1

Medicaid02588076NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Angelica M Hernandez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062472095
PECOS Enrollment IDI20041014000402
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
75 services75 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
46 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Obstetrics & Gynecology
320 MONTAUK HWY, SOUTH BAY OB/GYN, P.C.
WEST ISLIP, NY 11795
Nurse Practitioner (Family)
320 MONTAUK HWY
WEST ISLIP, NY 11795
Advanced Practice Midwife
320 MONTAUK HWY
WEST ISLIP, NY 11795
Obstetrics & Gynecology
320 MONTAUK HWY
WEST ISLIP, NY 11795
Obstetrics & Gynecology
320 MONTAUK HWY, SOUTH BAY OBGYN PC
WEST ISLIP, NY 11795
Nurse Practitioner (Family)
320 MONTAUK HWY
WEST ISLIP, NY 11795
Obstetrics & Gynecology
320 MONTAUK HWY
WEST ISLIP, NY 11795
Anesthesiology
320 MONTAUK HWY, SOUTH BAY OBGYN, P.C.
WEST ISLIP, NY 11795

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 Angelica Hernandez's NPI number?

The NPI number for Angelica Hernandez is 1164484523. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Angelica Hernandez located?

Angelica Hernandez practices at 320 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 587-2500.

What is Angelica Hernandez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Angelica Hernandez enrolled in Medicare?

Yes. Angelica Hernandez is registered in the Medicare PECOS enrollment system.

Is Angelica Hernandez affiliated with any hospitals?

According to CMS data, Angelica Hernandez is affiliated with North Shore University Hospital, Good Samaritan Hospital Medical Center and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Angelica Hernandez was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.