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MARIA PAULA FERNANDEZ MD
NPI 1235652207
Ophthalmology in Des Plaines, IL

Active since July 21, 2017PECOS EnrolledAccepts Medicare Assignment
99.5/100
CMS Quality Rating
2454 E DEMPSTER ST STE 400, DES PLAINES, IL 60016(847) 299-0700(847) 390-0616 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2021, Jul 21, 2017 (2 updates tracked since 2017).

About Maria Paula Fernandez Md NPPES

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

MARIA PAULA FERNANDEZ MD (NPI 1235652207) is an individual ophthalmology provider in Des Plaines, Illinois, licensed in Florida (ME149505) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1235652207
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMARIA PAULA FERNANDEZCredential: MD
Location Address2454 E DEMPSTER ST STE 400Des Plaines, IL 60016-5320
Mailing Address2454 E Dempster St Ste 400Des Plaines, IL 60016-5320 · (847) 299-0700 · Fax (847) 390-0616
Phone(847) 299-0700
Fax(847) 390-0616
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 21, 2017
Last NPPES UpdateMay 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
✔ NPI 1235652207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME149505
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2454 E DEMPSTER ST STE 400, Des Plaines, IL 60016
Open in Google Maps ↗

Other Names 1

Professional Name (2)Maria Paula Fernandez Jimenez Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Maria Paula Fernandez Md 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 ID8628485976
PECOS Enrollment IDI20231103000308
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 11

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
1,320 services13 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
768 services332 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.
437 services242 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
364 services64 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
293 services107 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
118 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60016 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

99.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.15
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

MR. SALIH UZUN MD
Ophthalmology
2454 E DEMPSTER ST STE 400
DES PLAINES, IL 60016
Cook County (847) 299-0700
SAIRA KHANNA MD
Ophthalmology (Retina Specialist)
2454 E DEMPSTER ST STE 400
DES PLAINES, IL 60016
Cook County (847) 299-0700
KYLE COX BLAIR DO
Ophthalmology (Retina Specialist)
2454 E DEMPSTER ST STE 400
DES PLAINES, IL 60016
Cook County (847) 299-0700

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 Maria Fernandez's NPI number?

The NPI number for Maria Fernandez is 1235652207. It was assigned to this individual provider in the NPPES registry on July 21, 2017. The provider is also known as Maria Paula Fernandez Jimenez MD.

Where is Maria Fernandez located?

Maria Fernandez practices at 2454 E Dempster St Ste 400, Des Plaines, IL 60016. The listed phone number is (847) 299-0700.

What is Maria Fernandez's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Maria Fernandez enrolled in Medicare?

Yes. Maria Fernandez 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.

What insurance does Maria Fernandez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and CareSource list Maria 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 Maria Fernandez affiliated with any hospitals?

According to CMS data, Maria Fernandez is affiliated with Mt Sinai Hospital Medical Center and Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Maria Fernandez was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.