DR. MANUEL HERNANDEZ M.D.
NPI 1336102540
Emergency Medicine in Milwaukee, WI

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
10625 W NORTH AVE, 102, MILWAUKEE, WI 53226(414) 877-5350(414) 877-5360 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Manuel Hernandez M.d. NPPES

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

DR. MANUEL HERNANDEZ M.D. (NPI 1336102540) is an individual emergency medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (48305-020) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Medical College Of Wisconsin (2002).

NPPES Registry Identity

NPI1336102540
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MANUEL HERNANDEZCredential: M.D.
Location Address10625 W NORTH AVE, 102Milwaukee, WI 53226-2315
Mailing Address10625 W North Ave, 102Milwaukee, WI 53226-2315 · (414) 877-5350 · Fax (414) 877-5360
Fax(414) 877-5360
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2002
Enumeration DateApril 10, 2006
Last NPPES UpdateApril 7, 2017
NPI 1336102540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WI · 48305-020
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
10625 W NORTH AVE, Milwaukee, WI 53226

Other Identifiers 2

Medicare UPINI38516WI
Medicaid34670200WI

Accepted 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

Dr. Manuel Hernandez 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 ID7517998719
PECOS Enrollment IDI20050827000112
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 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
80 services77 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
57 services55 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Ascension Wisconsin Hosp Menomonee Falls Campus

Acute Care Hospitals · Menomonee Falls, WI
OwnershipProprietary
CMS Certification Number520214
LocationN88w14275 Main Street, Suite 100Menomonee Falls, WI 53051 · Waukesha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

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.

Chiropractor
10625 W NORTH AVE, SUITE 230
WAUWATOSA, WI 53226
Acupuncturist
10625 W NORTH AVE, SUITE 223
WAUWATOSA, WI 53226
Emergency Medicine
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226
Emergency Medicine
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226
Emergency Medicine
10625 W NORTH AVE, SUITE 102
WAUWATOSA, WI 53226
Physician Assistant
10625 W NORTH AVE, SUITE 102
WAUWATOSA, WI 53226
Physician Assistant
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226
Emergency Medicine
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226

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 Manuel Hernandez's NPI number?

The NPI number for Manuel Hernandez is 1336102540. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Manuel Hernandez located?

Manuel Hernandez practices at 10625 W North Ave 102, Milwaukee, WI 53226. The listed phone number is (414) 877-5350.

What is Manuel Hernandez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Manuel Hernandez enrolled in Medicare?

Yes. Manuel Hernandez 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 Manuel Hernandez accept?

Health plans from CareSource (Common Ground Healthcare) list Manuel Hernandez 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 Manuel Hernandez affiliated with any hospitals?

According to CMS data, Manuel Hernandez is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension SE Wisconsin Hospital and Ascension Wisconsin Hosp Menomonee Falls Campus.

When was this NPI record last updated?

The NPPES record for Manuel Hernandez was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.