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MILAGROS HERNANDEZ M.D
NPI 1295772812
Internal Medicine - Rheumatology in Astoria, NY

Active since June 01, 2006PECOS Enrolled
82.11/100
CMS Quality Rating
3010 38TH ST, ASTORIA, NY 11103(718) 545-2424(718) 932-9131 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Milagros Hernandez M.d NPPES

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

MILAGROS HERNANDEZ M.D (NPI 1295772812) is an individual rheumatology provider in Astoria, New York, licensed in New York (194459) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1295772812
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMILAGROS HERNANDEZCredential: M.D
Location Address3010 38TH STAstoria, NY 11103-3804
Mailing Address3010 38th St Fl 2Astoria, NY 11103-3804 · (718) 545-2424 · Fax (718) 932-9131
Phone(718) 545-2424
Fax(718) 932-9131
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 1, 2006
Last NPPES UpdateOctober 24, 2017
✔ NPI 1295772812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 194459
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3010 38TH ST, Astoria, NY 11103
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified07400HNY
Medicare UPING22715NY
Medicaid01680299NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5991724312
PECOS Enrollment IDI20060126000208
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 Milagros Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Astoria Healthcare Associates LLP
Same address
Rheumatology
3010 38TH ST FL 2
Astoria, NY 11103
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1114971306 (718) 545-2020

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 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.

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.
225 services81 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.
130 services74 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
59 services45 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
43 services42 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
40 services39 patients
Testing of autonomic (sympathetic) nervous system function 95923
Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11103 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

82.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.15
Improvement Activities40
Cost83.5

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers25 claims66 services$5.43 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims19 services$1.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

THOMAS MASTAKOURIS M.D
Internal Medicine
3010 38TH ST
ASTORIA, NY 11103
Queens County (718) 545-2020

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 Milagros Hernandez's NPI number?

The NPI number for Milagros Hernandez is 1295772812. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Milagros Hernandez located?

Milagros Hernandez practices at 3010 38th St, Astoria, NY 11103. The listed phone number is (718) 545-2424.

What is Milagros Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Milagros Hernandez enrolled in Medicare?

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

Which organization bills Medicare for Milagros Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Milagros Hernandez reassigns Medicare benefits to Astoria Healthcare Associates LLP (Astoria, NY). 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 Milagros Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Milagros Hernandez was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.