RAYMOND N FERNANDEZ MD
NPI 1699774141
Internal Medicine - Cardiovascular Disease in Albertville, AL

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
69.08/100
CMS Quality Rating
4198 US HIGHWAY 431, SUITE A, ALBERTVILLE, AL 35950(256) 891-8580(256) 891-8581 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raymond N Fernandez Md NPPES

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

RAYMOND N FERNANDEZ MD (NPI 1699774141) is an individual cardiovascular disease provider in Albertville, Alabama, licensed in Alabama (00022283) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1699774141
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRAYMOND N FERNANDEZCredential: MD
Location Address4198 US HIGHWAY 431, SUITE AAlbertville, AL 35950-0212
Mailing Address4198 Us Highway 431, Suite AAlbertville, AL 35950-0212 · (256) 891-8580 · Fax (256) 891-8581
Fax(256) 891-8581
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 18, 2005
Last NPPES UpdateOctober 15, 2007
NPI 1699774141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AL · 00022283
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4198 US HIGHWAY 431, Albertville, AL 35950

Other Identifiers 4

Other51515286AL · Bcbs Of Alabama
Medicaid009922285AL
Medicare PIN051553555AL
Medicare UPINF52246AL

Accepted 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

Raymond N 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 ID9436104601
PECOS Enrollment IDI20050324000783
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 23

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
954 services359 patients
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.
789 services302 patients
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.
415 services282 patients
Injection, dipyridamole, per 10 mg J1245
Dipyridamole injection is a medication used to prevent blood clots. It's given in doses of 10 mg, typically through an IV. The medication helps to keep your blood flowing smoothly by preventing platelets from clumping together in your veins.
195 services31 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
174 services174 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
116 services115 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35950 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

69.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability0
Improvement Activities40
Cost62.16

Reported Quality Measures

Controlling High Blood Pressure
77%956 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%309 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%4,556 patients5/55-star benchmark: 100%
e-Prescribing
93%2,914 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
96%1,501 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
55%1,083 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 28% · 1,440 patients
Patients screened: 31% · 1,440 patients
76%212 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
38%1,507 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 920 patients
Patients totalRate: 0% · 920 patients
0%920 patients5/55-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 3

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$102.48 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$34.38 avg. paid by Medicare
Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier28 claims28 services$2,145.75 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 4

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

Clinic/Center (Urgent Care)
4198 US HIGHWAY 431, SUITE D
ALBERTVILLE, AL 35950
Clinic/Center (Magnetic Resonance Imaging (MRI))
4198 US HIGHWAY 431, SUITE B
ALBERTVILLE, AL 35950
General Acute Care Hospital
4198 US HIGHWAY 431, SUITE B
ALBERTVILLE, AL 35950
Physical Therapist
4198 US HIGHWAY 431, SUITE D
ALBERTVILLE, AL 35950

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 Raymond Fernandez's NPI number?

The NPI number for Raymond Fernandez is 1699774141. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Raymond Fernandez located?

Raymond Fernandez practices at 4198 Us Highway 431 Suite A, Albertville, AL 35950. The listed phone number is (256) 891-8580.

What is Raymond Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Raymond Fernandez enrolled in Medicare?

Yes. Raymond 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.

What insurance does Raymond Fernandez accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Raymond 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 Raymond Fernandez was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.