DR. CARMELO ABEL HERNANDEZ M.D.
NPI 1437154382
Obstetrics & Gynecology in Alamosa, CO

Q: What is Carmelo Hernandez's NPI number?

The NPI number for Carmelo Hernandez is 1437154382. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Carmelo Hernandez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Carmelo Hernandez was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment

83.97/100

CMS Quality Rating

106 BLANCA AVE, ALAMOSA, CO 81101(719) 589-8028(719) 589-8086 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Carmelo Abel Hernandez M.d. NPPES

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

DR. CARMELO ABEL HERNANDEZ M.D. (NPI 1437154382) is an individual obstetrics & gynecology provider in Alamosa, Colorado, licensed in North Carolina (200100889) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (1997).

NPPES Registry Identity

NPI1437154382

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. CARMELO ABEL HERNANDEZCredential: M.D.

Location Address106 BLANCA AVEAlamosa, CO 81101-2340

Mailing Address106 Blanca AveAlamosa, CO 81101-2340 · (719) 587-1417 · Fax (719) 587-6324

Phone(719) 589-8028

Fax(719) 589-8086

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1997

Enumeration DateJune 16, 2005

Last NPPES UpdateMay 5, 2021

NPPES CertifiedApril 3, 2021

✔ NPI 1437154382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NC · 200100889

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

106 BLANCA AVE, Alamosa, CO 81101

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Other Identifiers 2

Medicaid89012PRNC

Medicaid48586871CO

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. Carmelo Abel 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 ID4789657156

PECOS Enrollment IDI20131111000353

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

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.

26 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81101 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

83.97/100

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

Scored as part of a group practice

Quality

73.8

Promoting Interoperability

Improvement Activities

Cost

57.16

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.

JOSHUA ARMSTRONG KOONTZ PHARMD

Pharmacist