1. Home
  2. Directory
  3. Florida
  4. Palmetto Bay
  5. Orthopaedic Surgery
  6. NPI Profile

GISELLE MARIE HERNANDEZ M.D.
NPI 1699056556
Orthopaedic Surgery in Palmetto Bay, FL

Active since September 06, 2011PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
9333 SW 152ND ST, PALMETTO BAY, FL 33157(305) 251-2500(478) 633-8698 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2025, Sep 26, 2018, Aug 21, 2017 and 1 more (4 updates tracked since 2017).

About Giselle Marie Hernandez M.d. NPPES

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

GISELLE MARIE HERNANDEZ M.D. (NPI 1699056556) is an individual orthopaedic surgery provider in Palmetto Bay, Florida, licensed in Florida (ME137259) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Pennsylvania State University College Of Medicine (2011).

NPPES Registry Identity

NPI1699056556
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameGISELLE MARIE HERNANDEZCredential: M.D.
Location Address9333 SW 152ND STPalmetto Bay, FL 33157-1778
Mailing Address1611 Nw 12th Ave # 303Miami, FL 33136-1005 · (305) 243-3000 · Fax (305) 324-7658
Phone(305) 251-2500
Fax(478) 633-8698
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2011
Enumeration DateSeptember 6, 2011
Last NPPES UpdateFebruary 7, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1699056556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME137259
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
9333 SW 152ND ST, Palmetto Bay, FL 33157
Open in Google Maps ↗

Other Identifiers 1

Medicaid1007727-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Giselle Marie 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 ID8628340692
PECOS Enrollment IDI20190123000220
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 2

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.
72 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33157 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

MISS TAYLOR NICOLE LOPEZ PA-C
Physician Assistant
9333 SW 152ND ST
PALMETTO BAY, FL 33157
Miami-Dade County (305) 251-2500
GREGORY ADAKA M.D.
Emergency Medicine
9333 SW 152ND ST
PALMETTO BAY, FL 33157
Miami-Dade County (305) 585-4109
GISELLA LACAYO DETTBARN CRNA
Nurse Anesthetist, Certified Registered
9333 SW 152ND ST
PALMETTO BAY, FL 33157
Miami-Dade County (305) 251-2500
MRS. GIOVANNA LLANES RN
Nurse Anesthetist, Certified Registered
9333 SW 152ND ST
PALMETTO BAY, FL 33157
Miami-Dade County (305) 256-5267
COMFORTING PALLIATIVE CARE LLC
Internal Medicine (Hospice and Palliative Medicine)
9333 SW 152ND ST
PALMETTO BAY, FL 33157
Miami-Dade County (305) 251-2500
MS. CRISTEL ANZOATEGUI APRN, AGACNP-BC
Nurse Practitioner (Adult Health)
9333 SW 152ND ST
PALMETTO BAY, FL 33157
Miami-Dade County (305) 256-5306
DAVID MICHAEL HERNANDEZ DNP, CRNA
Nurse Anesthetist, Certified Registered
9333 SW 152ND ST
PALMETTO BAY, FL 33157
Miami-Dade County (305) 251-2500
CLAUDIA MARIA AMENGUAL ARNP
Nurse Practitioner (Acute Care)
9333 SW 152ND ST
PALMETTO BAY, FL 33157
Miami-Dade County (305) 251-2500

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 Giselle Hernandez's NPI number?

The NPI number for Giselle Hernandez is 1699056556. It was assigned to this individual provider in the NPPES registry on September 6, 2011.

Where is Giselle Hernandez located?

Giselle Hernandez practices at 9333 SW 152nd St, Palmetto Bay, FL 33157. The listed phone number is (305) 251-2500.

What is Giselle Hernandez's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Giselle Hernandez enrolled in Medicare?

Yes. Giselle 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.

What insurance does Giselle Hernandez accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Giselle Hernandez 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.

Is Giselle Hernandez affiliated with any hospitals?

According to CMS data, Giselle Hernandez is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Giselle Hernandez was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.