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DR. FRANCISCO J HERNANDEZ MUNOZ M.D.
NPI 1194015032
Internal Medicine - Infectious Disease in Augusta, GA

Active since April 12, 2011PECOS EnrolledAccepts Medicare Assignment
820 SAINT SEBASTIAN WAY STE 7C, AUGUSTA, GA 30901(706) 774-2708(706) 774-2039 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 31, 2017 (2 updates tracked since 2017).

About Dr. Francisco J Hernandez Munoz M.d. NPPES

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

DR. FRANCISCO J HERNANDEZ MUNOZ M.D. (NPI 1194015032) is an individual infectious disease provider in Augusta, Georgia, licensed in Massachusetts (248507) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1194015032
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. FRANCISCO J HERNANDEZ MUNOZCredential: M.D.
Location Address820 SAINT SEBASTIAN WAY STE 7CAugusta, GA 30901-2641
Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-8326 · Fax (706) 774-7230
Phone(706) 774-2708
Fax(706) 774-2039
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 12, 2011
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1194015032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MA · 248507
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
820 SAINT SEBASTIAN WAY STE 7C, Augusta, GA 30901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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. Francisco J Hernandez Munoz M.d. 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 ID5991939084
PECOS Enrollment IDI20170912001792
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 Reassignment

Medicare enrollment records show Francisco Hernandez Munoz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neighborhood Improvement Project, Inc
4.9 mi
Federally Qualified Health Center (FQHC)
2467 GOLDEN CAMP ROAD
Augusta, GA 30906
  • Reassigned Medicare billing, Georgia enrollment
  • 90 clinicians in this Medicare group
NPI 1700900867 (706) 790-4440

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 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.

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.
644 services194 patients
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.
155 services145 patients
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes G2011
This service involves a structured assessment, such as AUDIT or DAST, to identify potential misuse of alcohol or substances. If misuse is detected, a brief intervention lasting 5-14 minutes is conducted to provide guidance and support to help manage the issue.
60 services45 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.
46 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

University Mcduffie County Regional Medical Center

Acute Care Hospitals · Thomson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110111
Location2460 Washington RoadThomson, GA 30824 · Mc Duffie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
95%74 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

CHELSEY PYE BOYLE NP
Internal Medicine (Infectious Disease)
820 SAINT SEBASTIAN WAY STE 7C
AUGUSTA, GA 30901
Richmond County (706) 774-5310

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 Francisco Hernandez Munoz's NPI number?

The NPI number for Francisco Hernandez Munoz is 1194015032. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Francisco Hernandez Munoz located?

Francisco Hernandez Munoz practices at 820 Saint Sebastian Way Ste 7C, Augusta, GA 30901. The listed phone number is (706) 774-2708.

What is Francisco Hernandez Munoz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Francisco Hernandez Munoz enrolled in Medicare?

Yes. Francisco Hernandez Munoz 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 organization bills Medicare for Francisco Hernandez Munoz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Francisco Hernandez Munoz reassigns Medicare benefits to Neighborhood Improvement Project, Inc (Augusta, GA). The 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 Francisco Hernandez Munoz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Francisco Hernandez Munoz accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Francisco Hernandez Munoz 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 Francisco Hernandez Munoz affiliated with any hospitals?

According to CMS data, Francisco Hernandez Munoz is affiliated with Piedmont Augusta Hospital and University Mcduffie County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Francisco Hernandez Munoz was last updated on July 21, 2022. 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.