PAUL TARVER HERNANDEZ M.D.
NPI 1609261171
Colon & Rectal Surgery in Philadelphia, PA

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3737 MARKET STREET, 4TH FLOOR, PHILADELPHIA, PA 19104(215) 662-8664(215) 243-4649 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul Tarver Hernandez M.d. NPPES

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

PAUL TARVER HERNANDEZ M.D. (NPI 1609261171) is an individual colon & rectal surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD462210) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2015).

NPPES Registry Identity

NPI1609261171
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NamePAUL TARVER HERNANDEZCredential: M.D.
Location Address3737 MARKET STREET, 4TH FLOORPhiladelphia, PA 19104-5544
Mailing Address3737 Market Street, 4th FloorPhiladelphia, PA 19104-5544 · (215) 662-8664 · Fax (215) 243-4649
Fax(215) 243-4649
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
NPI 1609261171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in PA · MD462210
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License MD462210 (PA)
3737 MARKET STREET, Philadelphia, PA 19104

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

Paul Tarver 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 ID6002296787
PECOS Enrollment IDI20231004003653
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.

Colonoscopy NAN13
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
0 services1 patient

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery
3737 MARKET STREET, 7TH FLOOR
PHILADELPHIA, PA 19104
Family Medicine
3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Rheumatology)
3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3737 MARKET STREET, 6TH FLOOR
PHILADELPHIA, PA 19104
Physician Assistant
3737 MARKET STREET, 4TH FLOOR
PHILADELPHIA, PA 19104
Family Medicine
3737 MARKET STREET, PENN FAMILY CARE, 9TH FLOOR
PHILADELPHIA, PA 19104
Neurological Surgery
3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104
Nurse Practitioner (Gerontology)
3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104

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 Paul Hernandez's NPI number?

The NPI number for Paul Hernandez is 1609261171. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Paul Hernandez located?

Paul Hernandez practices at 3737 Market Street 4th Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-8664.

What is Paul Hernandez's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Paul Hernandez enrolled in Medicare?

Yes. Paul 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.

Is Paul Hernandez affiliated with any hospitals?

According to CMS data, Paul Hernandez is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Hernandez was last updated on October 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.