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DR. PEDRO JORGE HERNANDEZ-RIOS MD
NPI 1568497485
Internal Medicine in Miami, FL

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
19411 NW 2ND AVE, MIAMI, FL 33169(305) 653-5056 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Pedro Jorge Hernandez-rios Md NPPES

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

DR. PEDRO JORGE HERNANDEZ-RIOS MD (NPI 1568497485) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME0066967) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1568497485
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PEDRO JORGE HERNANDEZ-RIOSCredential: MD
Location Address19411 NW 2ND AVEMiami, FL 33169-3314
Mailing Address19411 Nw 2nd AveMiami, FL 33169-3314 · (305) 653-5056
Phone(305) 653-5056
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 11, 2006
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1568497485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0066967
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License ME0066967 (FL)
19411 NW 2ND AVE, Miami, FL 33169
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Other Names 1

Other Name (5)Dr. Pedro Jorge Hernandez Md Mph

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida.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. Pedro Jorge Hernandez-rios 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 ID6709055924
PECOS Enrollment IDI20110804000411
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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33169 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
50%20 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.80 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 3

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

SS SERVICES OF NORTH MIAMI INC
Clinic/Center
19411 NW 2ND AVE
MIAMI, FL 33169
Miami-Dade County (305) 742-3653
DR. VINCENT CHARLEY CHIN M.D.
Family Medicine
19411 NW 2ND AVE
MIAMI, FL 33169
Miami-Dade County (305) 653-5056
VINCENT C CHIN M.D., P.A.
Clinic/Center (Primary Care)
19411 NW 2ND AVE
MIAMI, FL 33169
Miami-Dade County (305) 653-5056

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 Pedro Hernandez-rios's NPI number?

The NPI number for Pedro Hernandez-rios is 1568497485. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Dr. Pedro Jorge Hernandez MD Mph.

Where is Pedro Hernandez-rios located?

Pedro Hernandez-rios practices at 19411 NW 2nd Ave, Miami, FL 33169. The listed phone number is (305) 653-5056.

What is Pedro Hernandez-rios's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pedro Hernandez-rios enrolled in Medicare?

Yes. Pedro Hernandez-rios 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 Pedro Hernandez-rios accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Pedro Hernandez-rios 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 Pedro Hernandez-rios was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.