1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Psychiatry Neurology
  6. NPI Profile

DR. LUIS DE JESUS FERNANDEZ MD
NPI 1528370756
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Pittsburgh, PA

Active since July 02, 2010PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
4401 PENN AVE, PEDIATRIC NEUROLOGY - THIRD FLOOR, PITTSBURGH, PA 15224(412) 692-5520(412) 692-6787 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2025, Nov 20, 2025, Dec 1, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Luis De Jesus Fernandez Md NPPES

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

DR. LUIS DE JESUS FERNANDEZ MD (NPI 1528370756) is an individual neurology with special qualifications in child neurology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD454852) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1528370756
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. LUIS DE JESUS FERNANDEZCredential: MD
Location Address4401 PENN AVE, PEDIATRIC NEUROLOGY - THIRD FLOORPittsburgh, PA 15224-1334
Mailing Address2 Hot Metal StPittsburgh, PA 15203-2348 · (412) 647-3087
Phone(412) 692-5520
Fax(412) 692-6787
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 2, 2010
Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1528370756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in PA · MD454852✔ Licensed in MD · D90887
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License MD454852 (PA)
4401 PENN AVE, Pittsburgh, PA 15224
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1625 Kent Ave Ste 102Cumberland, MD 21502-3798 · Phone (240) 964-4288 · Fax (240) 964-4280
Location 23 Walnut St Ste 205Lemoyne, PA 17043-1168 · Phone (717) 988-0090 · Fax (717) 221-5320
Location 312502 Willowbrook RdCumberland, MD 21502-6491 · Phone (240) 964-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Luis De Jesus Fernandez 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 ID7618269275
PECOS Enrollment IDI20160630001271
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 Reassignments

4

Medicare enrollment records show Luis Fernandez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
Same address
Pediatrics
4401 PENN AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1225096639 (412) 692-5325
Upmc Western Maryland Health Services, LLC
71 mi
Urgent Care
23789 GARRETT HWY
Mc Henry, MD 21541
  • Reassigned Medicare billing, Maryland enrollment
  • 318 clinicians in this Medicare group
NPI 1013696491 (240) 488-4139
Upmc Western Maryland Corporation
79 mi
Urgent Care
10701 NEW GEORGES CREEK RD SW
Frostburg, MD 21532
  • Reassigned Medicare billing, Maryland enrollment
  • 210 clinicians in this Medicare group
NPI 1952495079 (301) 689-3229
Pinnacle Health Medical Services
127 mi
Pediatric Urology
761 5TH AVE STE D
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1053097238 (717) 988-0090

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

KARA MARIE MARANGONI CRNP
Nurse Practitioner (Neonatal, Critical Care)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5030
ALLISON WILLIAMS
Pediatrics
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
FRANCES FLEDDERMANN
Nurse Practitioner (Neonatal)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5030
PREETHA KEYA SINHA MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5325
CHRISTIN LAWLER DEAL M.D.
Allergy & Immunology
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (404) 226-4169
ANNA ELISA HEIPERTZ
Student in an Organized Health Care Education/Training Program
4401 PENN AVE, AOB BUILDING, SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
DANIELLE BROWNING
Pediatrics (Neonatal-Perinatal Medicine)
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
ADESH SURESH RANGANNA
Student in an Organized Health Care Education/Training Program
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5135

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 Luis Fernandez's NPI number?

The NPI number for Luis Fernandez is 1528370756. It was assigned to this individual provider in the NPPES registry on July 2, 2010.

Where is Luis Fernandez located?

Luis Fernandez practices at 4401 Penn Ave Pediatric Neurology - Third Floor, Pittsburgh, PA 15224. The listed phone number is (412) 692-5520.

What is Luis Fernandez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Luis Fernandez enrolled in Medicare?

Yes. Luis 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.

Which organizations bill Medicare for Luis Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Fernandez reassigns Medicare benefits to 4 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Upmc Western Maryland Health Services, LLC (Mc Henry, MD), Upmc Western Maryland Corporation (Frostburg, MD) and Pinnacle Health Medical Services (Chambersburg, PA). Each 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 Luis Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Fernandez accept?

Health plans from CareSource list Luis 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 Luis Fernandez was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.