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SEAN MICHAEL HERNANDEZ MD
NPI 1710340682
Internal Medicine in Winston Salem, NC

Active since March 30, 2016PECOS Enrolled
WAKE FOREST SCHOOL OF MEDICINE MEDICAL BLVD, WATLINGTON HALL, 3RD FLOOR, WINSTON SALEM, NC 27157(336) 716-4305 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2019, Jul 5, 2019, Mar 30, 2016 (3 updates tracked since 2016).

About Sean Michael Hernandez Md NPPES

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

SEAN MICHAEL HERNANDEZ MD (NPI 1710340682) is an individual internal medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2019-01654) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710340682
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEAN MICHAEL HERNANDEZCredential: MD
Location AddressWAKE FOREST SCHOOL OF MEDICINE MEDICAL BLVD, WATLINGTON HALL, 3RD FLOORWinston Salem, NC 27157-0001
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-4305
Phone(336) 716-4305
Sole ProprietorNo
Enumeration DateMarch 30, 2016
Last NPPES UpdateJuly 30, 20193 updates tracked since enumeration
✔ NPI 1710340682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2019-01654
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.
WAKE FOREST SCHOOL OF MEDICINE MEDICAL BLVD, Winston Salem, NC 27157
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Michael Hernandez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
103 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
4 suppliers13 claims13 services$77.67 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers15 claims15 services$17.00 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

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

ANDREW CHARLES ADAIR M.D.
Student in an Organized Health Care Education/Training Program
WAKE FOREST SCHOOL OF MEDICINE MEDICAL BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4490

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 Sean Hernandez's NPI number?

The NPI number for Sean Hernandez is 1710340682. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Sean Hernandez located?

Sean Hernandez practices at Wake Forest School Of Medicine Medical Blvd Watlington Hall, 3rd Floor, Winston Salem, NC 27157. The listed phone number is (336) 716-4305.

What is Sean Hernandez's specialty?

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

Is Sean Hernandez enrolled in Medicare?

Yes. Sean Hernandez is registered in the Medicare PECOS enrollment system.

What insurance does Sean Hernandez accept?

Health plans from AmeriHealth Caritas Next list Sean 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.

When was this NPI record last updated?

The NPPES record for Sean Hernandez was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.