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EDGAR SERGE FERNANDEZ M.D.
NPI 1205368701
Internal Medicine - Infectious Disease in Orlando, FL

Active since April 03, 2017PECOS Enrolled
97.62/100
CMS Quality Rating
1012 LUCERNE TER, ORLANDO, FL 32806(407) 423-1039(407) 425-2347 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2025, Mar 17, 2025, Jul 29, 2024 and 4 more (7 updates tracked since 2020).

About Edgar Serge Fernandez M.d. NPPES

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

EDGAR SERGE FERNANDEZ M.D. (NPI 1205368701) is an individual infectious disease provider in Orlando, Florida, licensed in Florida (ME143670) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205368701
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameEDGAR SERGE FERNANDEZCredential: M.D.
Location Address1012 LUCERNE TEROrlando, FL 32806-1015
Mailing Address1012 Lucerne TerOrlando, FL 32806-1015 · (407) 423-1039 · Fax (407) 425-2347
Phone(407) 423-1039
Fax(407) 425-2347
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateMay 16, 20257 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1205368701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in FL · ME143670✔ Licensed in AZ · 72796✔ Licensed in WI · 84410-20✔ Licensed in MN · 3008
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 ListedInternal MedicineTaxonomy 207R00000X · License ME143670 (FL)
1012 LUCERNE TER, Orlando, FL 32806
Open in Google Maps ↗

Other Identifiers 2

OtherME143670FL · State License
Medicaid109063800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Serge Fernandez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759668031
PECOS Enrollment IDI20210111001246
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 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.

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.
135 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
79 services34 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.
47 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

97.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.52
Improvement Activities40
Cost79.38

Other Providers at the Same Location NPPES 20

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

NAFEES ZEHRA HUSSAIN FNP
Nurse Practitioner (Adult Health)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
ROXANA FERRERA ARNP
Nurse Practitioner
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
ANTONIO CRESPO MD
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
EDGAR HERRERA SANCHEZ M.D.
Internal Medicine (Infectious Disease)
1012 LUCERNE TER, MP 803
ORLANDO, FL 32806
Orange County (407) 423-1039
CHRISTIAN DONATO SANTANA M.D.
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
IVY KIM LONG PHAN APRN
Nurse Practitioner (Adult Health)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
DIANA M. SALAZAR M.D.
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (321) 841-7750
ORLANDO HEALTH MEDICAL GROUP INC
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039

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 Edgar Fernandez's NPI number?

The NPI number for Edgar Fernandez is 1205368701. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Edgar Fernandez located?

Edgar Fernandez practices at 1012 Lucerne Ter, Orlando, FL 32806. The listed phone number is (407) 423-1039.

What is Edgar Fernandez's specialty?

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

Is Edgar Fernandez enrolled in Medicare?

Yes. Edgar Fernandez is registered in the Medicare PECOS enrollment system.

What insurance does Edgar Fernandez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 8 other insurers list Edgar 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 Edgar Fernandez affiliated with any hospitals?

According to CMS data, Edgar Fernandez is affiliated with Orlando Health, Adventhealth Orlando and Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Fernandez was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.