JOSE L. FERNANDEZ-GERENA MD
NPI 1285921171
Surgery in Stockbridge, GA

Q: What is Jose Fernandez-gerena's NPI number?

The NPI number for Jose Fernandez-gerena is 1285921171. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Q: What is Jose Fernandez-gerena's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment

87.59/100

CMS Quality Rating

1040 EAGLES LANDING PARKWAY, SUITE 100, STOCKBRIDGE, GA 30281(770) 474-7287(770) 389-3713 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2020, Mar 20, 2018 (2 updates tracked since 2018).

On this page

About Jose L. Fernandez-gerena Md NPPES

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

JOSE L. FERNANDEZ-GERENA MD (NPI 1285921171) is an individual surgery provider in Stockbridge, Georgia, licensed in Georgia (075622) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (2011).

NPPES Registry Identity

NPI1285921171

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJOSE L. FERNANDEZ-GERENACredential: MD

Location Address1040 EAGLES LANDING PARKWAY, SUITE 100Stockbridge, GA 30281-9073

Mailing Address1040 Eagles Landing Parkway, Suite 100Stockbridge, GA 30281-9073 · (770) 474-7287 · Fax (770) 389-3713

Phone(770) 474-7287

Fax(770) 389-3713

Sole ProprietorYes

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2011

Enumeration DateJune 30, 2011

Last NPPES UpdateJuly 30, 20202 updates tracked since enumeration

NPPES CertifiedJuly 30, 2020

✔ NPI 1285921171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in GA · 075622✔ Licensed in MI · 4301099137

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1040 EAGLES LANDING PARKWAY, Stockbridge, GA 30281

Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose L. Fernandez-gerena 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 ID2961783295

PECOS Enrollment IDI20161228002445

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 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.

30 services24 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.

18 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110191

Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

87.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.94

Improvement Activities

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

15%27 patients1/55-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.

DR. SHIKHA SRIVASTAVA M.D., F.A.C.S.

Surgery

1040 EAGLES LANDING PARKWAY, SUITE 100
STOCKBRIDGE, GA 30281

Henry County (770) 474-7287

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 Jose Fernandez-gerena's NPI number?

The NPI number for Jose Fernandez-gerena is 1285921171. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Jose Fernandez-gerena located?

Jose Fernandez-gerena practices at 1040 Eagles Landing Parkway Suite 100, Stockbridge, GA 30281. The listed phone number is (770) 474-7287.

What is Jose Fernandez-gerena's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jose Fernandez-gerena enrolled in Medicare?

Yes. Jose Fernandez-gerena 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 Jose Fernandez-gerena accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Jose Fernandez-gerena 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 Jose Fernandez-gerena affiliated with any hospitals?

According to CMS data, Jose Fernandez-gerena is affiliated with Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Jose Fernandez-gerena was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.