JOSE M. FERNANDEZ JR. M.D.
NPI 1437130788
Psychiatry & Neurology - Psychiatry in Houston, TX

Active since November 11, 2005PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
2800 S MACGREGOR WAY, HOUSTON, TX 77021(713) 741-5000(713) 741-5049 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jose M. Fernandez Jr. M.d. NPPES

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

JOSE M. FERNANDEZ JR. M.D. (NPI 1437130788) is an individual psychiatry provider in Houston, Texas, licensed in Texas (J4108) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1992).

NPPES Registry Identity

NPI1437130788
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOSE M. FERNANDEZ JR.Credential: M.D.
Location Address2800 S MACGREGOR WAYHouston, TX 77021-1032
Mailing Address2800 S Macgregor WayHouston, TX 77021-1032 · (713) 741-5000 · Fax (713) 741-5049
Fax(713) 741-5049
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1992
Enumeration DateNovember 11, 2005
Last NPPES UpdateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
NPI 1437130788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in TX · J4108
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2800 S MACGREGOR WAY, Houston, TX 77021

Secondary Practice Location 1

Location 19401 Southwest FwyHouston, TX 77074-1407 · Phone (713) 970-7000

Other Identifiers 3

Medicaid122020406TX
Medicaid122020403TX
MedicaidP00401440TX

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

Jose M. Fernandez Jr. 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 ID6608765052
PECOS Enrollment IDI20040312001067
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77021 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
11%57 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 20

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Psychiatry & Neurology (Psychiatry)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Psychologist (Clinical)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Psychiatry & Neurology (Psychiatry)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Nurse Practitioner (Psychiatric/Mental Health)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Student in an Organized Health Care Education/Training Program
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Psychiatry & Neurology (Psychiatry)
2800 S MACGREGOR WAY
HOUSTON, TX 77021
Nurse Practitioner (Psychiatric/Mental Health)
2800 S MACGREGOR WAY
HOUSTON, TX 77021

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's NPI number?

The NPI number for Jose Fernandez is 1437130788. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Jose Fernandez located?

Jose Fernandez practices at 2800 S Macgregor Way, Houston, TX 77021. The listed phone number is (713) 741-5000.

What is Jose Fernandez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jose Fernandez enrolled in Medicare?

Yes. Jose 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 Jose Fernandez accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Jose 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.

When was this NPI record last updated?

The NPPES record for Jose Fernandez was last updated on November 17, 2023. 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.